DR. KEVIN ALBERT PENG M.D.
NPI 1245556653
Otolaryngology - Otology & Neurotology in Los Angeles, CA

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1245 WILSHIRE BLVD, SOUTH TOWER STE 480, LOS ANGELES, CA 90017(213) 483-9930(562) 967-2363 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 20, 2017 (2 updates tracked since 2017).

About Dr. Kevin Albert Peng M.d. NPPES

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

DR. KEVIN ALBERT PENG M.D. (NPI 1245556653) is an individual otology & neurotology provider in Los Angeles, California, licensed in California (A120366) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2011).

NPPES Registry Identity

NPI1245556653
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDR. KEVIN ALBERT PENGCredential: M.D.
Location Address1245 WILSHIRE BLVD, SOUTH TOWER STE 480Los Angeles, CA 90017-4810
Mailing Address1245 Wilshire Blvd, South Tower Ste 480Los Angeles, CA 90017-4810 · (213) 483-9930 · Fax (562) 967-2363
Fax(562) 967-2363
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2011
Enumeration DateApril 9, 2010
Last NPPES UpdateFebruary 19, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1245556653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License Licensed in CA · A120366
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
1245 WILSHIRE BLVD, Los Angeles, CA 90017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Albert Peng M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466724588
PECOS Enrollment IDI20170823003561
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
3,207 services78 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
622 services410 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
596 services323 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
186 services186 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
109 services98 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services56 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Psychiatry & Neurology (Neurology)
1245 WILSHIRE BLVD, SUITE 814
LOS ANGELES, CA 90017
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017
Internal Medicine
1245 WILSHIRE BLVD, SUITE 790
LOS ANGELES, CA 90017
Internal Medicine (Hematology & Oncology)
1245 WILSHIRE BLVD, SUITE 801
LOS ANGELES, CA 90017
Internal Medicine
1245 WILSHIRE BLVD, STE 307
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, SUITE 905
LOS ANGELES, CA 90017
Internal Medicine (Pulmonary Disease)
1245 WILSHIRE BLVD, SUITE 407
LOS ANGELES, CA 90017
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Peng's NPI number?

The NPI number for Kevin Peng is 1245556653. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Kevin Peng located?

Kevin Peng practices at 1245 Wilshire Blvd South Tower Ste 480, Los Angeles, CA 90017. The listed phone number is (213) 483-9930.

What is Kevin Peng's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Kevin Peng enrolled in Medicare?

Yes. Kevin Peng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Peng was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.