Stanford Lee-Yu Peng, MD, PHD, FACP

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD60063017 Issued in WA

Practice address

188 E Blaine St Ste 200
Seattle, WA 98102-3983

Phone

(206) 785-4545

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: speng1042919@wm.providencedirect.org

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1174568489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 E BLAINE ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023983",
            "telephone_number": "206-788-4545",
            "fax_number": "206-316-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 E BLAINE ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023983",
            "telephone_number": "206-785-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Broadway Bldg Suite 901",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224396",
            "country_code": "US",
            "telephone_number": "206-860-6656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENG",
        "first_name": "STANFORD",
        "middle_name": "LEE-YU",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60063017",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92894",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A92894",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD60063017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A928940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Man Peng, LMHC
• Marlene Peng, MD
• Peter Yu Chang Peng, PA-C
• Qianying Peng
• Shaoling Peng, MA
• Christopher John Penn, M.S.
• Megan A Penna, MD
• Christopher Penner
• Joshua Lee Penner, D.C.
• Rebecca Anne Penner, RN

• Rheumatology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Rheumatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.