LEI PENG M.D. - NPI 1265792501 - Pediatrics in Fairfax, VA

Q: What is Lei Peng's NPI number?

The NPI number for Lei Peng is 1265792501. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Q: What is Lei Peng's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Lei Peng was last updated on August 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lei Peng M.d. NPPES

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

LEI PENG M.D. (NPI 1265792501) is an individual pediatric hematology-oncology provider in Fairfax, Virginia, licensed in Virginia (0101281832) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2012).

NPPES Registry Identity

NPI1265792501

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameLEI PENGCredential: M.D.

Location Address8081 INNOVATION PARK DR STE 765Fairfax, VA 22031-4867

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266

Phone(571) 472-1717

Fax(571) 472-1718

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2012

Enumeration DateMay 21, 2012

Last NPPES UpdateAugust 1, 20244 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1265792501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in VA · 0101281832✔ Licensed in MD · D84351

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License D84351 (MD)

8081 INNOVATION PARK DR STE 765, Fairfax, VA 22031

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Secondary Practice Location 1

Location 11800 Orleans St., Bloomberg Children's Center Rm 11379Baltimore, MD 21287 · Phone (410) 955-8751 · Fax (410) 955-0028

Other Identifiers 1

OtherD84351MD · License

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

Lei 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 ID7214249689

PECOS Enrollment IDI20260410003917

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.

Other Providers at the Same Location NPPES 10

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

ALISSA MILLS PA-C

Physician Assistant