LISA PENG M.D.
NPI 1235206897
General Practice in Harvey, IL

Q: What is Lisa Peng's NPI number?

The NPI number for Lisa Peng is 1235206897. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Lisa Peng's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Peng was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2006PECOS Enrolled

31 W 155TH ST, HARVEY, IL 60426(708) 596-5177(708) 339-3583 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2024, Jun 10, 2022, Jul 7, 2021 and 1 more (4 updates tracked since 2020).

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About Lisa Peng M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA PENG M.D. (NPI 1235206897) is an individual general practice provider in Harvey, Illinois, licensed in Illinois (036104558) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235206897

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameLISA PENGCredential: M.D.

Location Address31 W 155TH STHarvey, IL 60426-3556

Mailing Address31 W 155th StHarvey, IL 60426-3556 · (708) 596-5177 · Fax (708) 339-3583

Phone(708) 596-5177

Fax(708) 339-3583

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1235206897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IL · 036104558

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

31 W 155TH ST, Harvey, IL 60426

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Other Identifiers 1

Medicaid036104558IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Peng M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers33 claims70 services$4.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MAIRA OCHOA APN

Nurse Practitioner (Family)