Xiaobo Peng, MD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02776 Issued in MD

Practice address

414 Hungerford Dr Ste 200
Rockville, MD 20850-4125

Phone

(240) 714-8569

NPI assigned

Nov 23, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bliss Acupuncture Wellness LLC

  • Acupuncturist
  • Rockville, MD
  • NPI 1669179107
  NPD Authorized official
• Eday Acupuncture LLC

  • Acupuncturist
  • Rockville, MD
  • NPI 1134792641
  NPD Authorized official
• Dr. Holly Liu, LLC

  • Acupuncturist
  • Rockville, MD
  • NPI 1841604311
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1003410747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 MACBETH FARM LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291555",
            "telephone_number": "240-714-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HUNGERFORD DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504125",
            "telephone_number": "240-714-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "XIAOBO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF ACUPUNCTURE",
            "identifier": "U02776",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "P520928001757",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna A Pence, CRNP
• Farrah Pencle
• Ntoge Sone Penda
• Gang Peng, OMD, PH.D.
• Liqin Peng, LMT
• Allison Penley
• Leann Mae Penn, PA-C
• T'Mesha Penn
• Babette Pennay, CRNP
• Amber Pennifill

• Acupuncturist in Rockville, MD
• Providers in Rockville, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.