Individual provider Active NPI

Peng Yu, MD, PHD

  • Surgery Physician
  • Lawton, OK
National Provider Identifier
1124468277
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
S5141 Issued in TX
Practice address
5604 SW Lee Blvd Ste 210
Lawton, OK 73505-9663
Phone
(580) 531-6465
Fax
(580) 531-6426
NPI assigned
Jul 2, 2013
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME159414 FL
Surgery Physician 208600000X 285974 MA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X S5141 TX Primary

Addresses

Primary practice location

5604 SW Lee Blvd Ste 210
Lawton, OK 73505-9663

Mailing address

5604 SW Lee Blvd Ste 210
Lawton, OK 73505-9663
Phone (580) 531-6465

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pengyu@buffalo.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, TX, OK, CA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210213000014 MA Practitioner - General Surgery 7810234887 Reassigns benefits to 1 organization
I20221028000138 FL Practitioner - Cardiovascular Disease (Cardiology) 7810234887 Reassigns benefits to 1 organization
I20240326002756 TX Practitioner - General Surgery 7810234887 Reassigns benefits to 1 organization
I20250217001923 OK Practitioner - General Surgery 7810234887 Reassigns benefits to 1 organization
I20250714002622 CA Practitioner - General Surgery 7810234887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Surgeons Medical Group IncGroup PAC ID 6608779160, 9 clinicians
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

120 W Hellman Ave
Suite 203
Monterey Park, CA 91754-1209
Phone (626) 457-6333

250 Harrison St
Titusville, FL 32780-5094
Phone (321) 268-6834

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
285974MAMDSurgery Physician
S5141TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Surgical Affiliates, LLC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Regional Employee Assistance Program Inc Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Regional Employee Assistance Program Inc. Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Apr 3, 2021 Accepting new patients
Hendrick Provider Network CurrentSince Dec 9, 2024 Accepting new patients
Hendrick Provider Network Multi-Specialty CurrentSince Dec 9, 2024 Accepting new patients
North Brevard Medical Support, Inc Multi-Specialty CurrentSince Nov 1, 2022 Accepting new patients
Regional Employee Assistance Program Inc Multi-Specialty Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. Multi-Specialty CurrentSince Apr 3, 2021 Accepting new patients
Advance Surgeons Medical Group Inc Multi-Specialty CurrentSince Jul 8, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

18575 Gale Ave
Ste 295
City of Industry, CA 91748
Phone (626) 369-9663

120 W Hellman Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 457-6333

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

805 Century Medical Dr
Ste C
Titusville, FL 32796
Phone (321) 268-6264

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

5604 SW Lee Blvd
Ste 210
Lawton, OK 73505
Phone (580) 531-4700

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

125 S Park Dr
Ste A
Brownwood, TX 76801
Phone (325) 641-1648

601 E San Antonio St
#510E
Victoria, TX 77901
Phone (361) 572-4657

605 E San Antonio St
Ste 510E
Victoria, TX 77901
Phone (361) 576-9342

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4
  • Direct secure messaging: pengyu@buffalo.edu
  • Direct secure messaging: pyu206518@direct.renown.org

Organizations & group practices 11

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1124468277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 SW LEE BLVD STE 210",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059663",
            "telephone_number": "580-531-6465",
            "fax_number": "580-531-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 SW LEE BLVD STE 210",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059663",
            "telephone_number": "580-531-6465",
            "fax_number": "580-531-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "PENG",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME159414",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "285974",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "S5141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pengyu@buffalo.edu",
            "affiliation": "N",
            "address_1": "5604 SW Lee Blvd Ste 210",
            "city": "Lawton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735059663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.