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LINYUE KISHI PENG MS, RD, CDCES, LDN
NPI 1366908170
Dietitian, Registered in Broomall, PA

Active since February 17, 2019Accepts Medicare Assignment
1991 SPROUL RD, BROOMALL, PA 19008(484) 476-6230 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2022, Jul 14, 2022, Nov 9, 2021 and 3 more (6 updates tracked since 2019).

About Linyue Kishi Peng Ms, Rd, Cdces, Ldn NPPES

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

LINYUE KISHI PENG MS, RD, CDCES, LDN (NPI 1366908170) is an individual dietitian, registered in Broomall, Pennsylvania, licensed in Pennsylvania (DN006398) and active in the NPI registry since February 2019. She maintains a secondary practice location in King Of Prussia and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366908170
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLINYUE KISHI PENGCredential: MS, RD, CDCES, LDN
Location Address1991 SPROUL RDBroomall, PA 19008-3512
Mailing Address1991 Sproul RdBroomall, PA 19008-3512 · (484) 476-6230
Phone(484) 476-6230
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 17, 2019
Last NPPES UpdateSeptember 30, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1366908170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in PA · DN006398
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1991 SPROUL RD, Broomall, PA 19008
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Secondary Practice Location 1

Location 1625 Clark Ave Ste 17AKing Of Prussia, PA 19406-1438 · Phone (610) 768-7168

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

Linyue Kishi Peng Ms, Rd, Cdces, Ldn 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 ID1052701786
PECOS Enrollment IDI20211210002117

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. SEEMA STRACCIOLINI RPH
Pharmacist
1991 SPROUL RD
BROOMALL, PA 19008
Delaware County (610) 325-8422
MICHELE BRAMLEY CRNP
Nurse Practitioner (Family)
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
MS. GILDA AUDREY JOHNSON CPNP
Nurse Practitioner (Pediatrics)
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
DR. RANDOLPH P. HEINZEL MD
Obstetrics & Gynecology
1991 SPROUL RD, SUITE 200
BROOMALL, PA 19008
Delaware County (610) 325-1350
DR. WINSON THOLOOR GEORGE PHD, D.O
Family Medicine
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
DR. SEAN PATRICK GNECCO M.D.
Family Medicine
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
PHILLIP A DOBSON MD
Family Medicine
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
MRS. JACQUELYN ELIZABETH MOWDAY NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
1991 SPROUL RD, SUITE 200
BROOMALL, PA 19008
Delaware County (610) 325-1350

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 Linyue Peng's NPI number?

The NPI number for Linyue Peng is 1366908170. It was assigned to this individual provider in the NPPES registry on February 17, 2019.

Where is Linyue Peng located?

Linyue Peng practices at 1991 Sproul Rd, Broomall, PA 19008. The listed phone number is (484) 476-6230.

What is Linyue Peng's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Linyue Peng enrolled in Medicare?

Yes. Linyue 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 Linyue Peng was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.