Individual provider Active NPI

Lei Peng, M.D.

  • Pediatric Hematology & Oncology Physician
  • Fairfax, VA
National Provider Identifier
1265792501
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
0101281832 Issued in VA
Practice address
8081 Innovation Park Dr Ste 765
Fairfax, VA 22031-4867
Phone
(571) 472-1717
Fax
(571) 472-1718
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X D84351 MD
Pediatric Hematology & Oncology Physician 2080P0207X D84351 MD
Pediatric Hematology & Oncology Physician 2080P0207X 0101281832 VA Primary

Addresses

Primary practice location

8081 Innovation Park Dr Ste 765
Fairfax, VA 22031-4867

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

1800 Orleans St.
Bloomberg Children's Center Rm 11379
Baltimore, MD 21287
Phone (410) 955-8751

Other identifiers 1

IdentifierTypeStateIssuer
D84351OtherMDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200901002863 MD Practitioner - Medical Oncology 7214249689 Reassigns benefits to 1 organization
I20260410003917 DC Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 7214249689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Specialists of Virginia LLCGroup PAC ID 7719110154, 8 clinicians

Practice addresses (Care Compare)

3023 Hamaker CT
Suite 500
Fairfax, VA 22031-2241
Phone (571) 776-3100

8081 Innovation Park Dr
Suite 765
Fairfax, VA 22031-4867
Phone (703) 531-3624

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D84351MDMDMedical Oncology Physician
0101281832VAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Medical Oncology CurrentSince Sep 1, 2020 Accepting new patients
Pediatric Specialists of Virginia, LLC CurrentSince Jun 24, 2026 Accepting new patients
Johns Hopkins University CurrentSince Sep 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Health Care Services PastSince Aug 4, 2024 Accepting new patients

Locations

1800 Orleans St
Rm 11379
Baltimore, MD 21287
Phone (410) 614-5055

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

8081 Innovation Park Dr
Ste 765
Fairfax, VA 22031
Phone (571) 472-1717

Interoperability endpoints

  • Direct secure messaging: lpeng1441148@soc.inova.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1265792501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 765",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-1717",
            "fax_number": "571-472-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans St.",
            "address_2": "Bloomberg Children's Center Rm 11379",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21287",
            "country_code": "US",
            "telephone_number": "410-955-8751",
            "fax_number": "410-955-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENG",
        "first_name": "LEI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D84351",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MD",
            "license": "D84351",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "VA",
            "license": "0101281832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D84351",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.