EVELYN PENG MD
NPI 1730982315
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Q: What is Evelyn Peng's NPI number?

The NPI number for Evelyn Peng is 1730982315. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Evelyn Peng's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Evelyn Peng was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 31, 2025PECOS Enrolled

1000 E 24TH ST, KANSAS CITY, MO 64108(816) 512-7439(816) 512-7440 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Evelyn Peng Md NPPES

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

EVELYN PENG MD (NPI 1730982315) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730982315

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameEVELYN PENGCredential: MD

Location Address1000 E 24TH STKansas City, MO 64108-2776

Mailing Address1000 E 24th StKansas City, MO 64108-2776 · (816) 512-7439 · Fax (816) 512-7440

Phone(816) 512-7439

Fax(816) 512-7440

Sole ProprietorNo

Enumeration DateMarch 31, 2025

Last NPPES UpdateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1730982315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 E 24TH ST, Kansas City, MO 64108

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn Peng Md 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.

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.

DR. VALERIE LEEANN RUEHTER PHARMD, BCPP

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