Vicky Peng, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2001-280 Issued in NM

Practice address

4705 Montgomery Blvd NE
Ste 301
Albuquerque, NM 87109-1226

Phone

(505) 727-4500

Fax

(505) 727-4505

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

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.

• Lovelace Health System, Inc.

  • Geriatric Psychiatry Physician
  • Albuquerque, NM
  • NPI 1821240201
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vpeng10278@ahs.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2016.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1689607178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "VICKY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "2001-280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E6257",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis David Penaloza Vargas
• Stephanie Hue Pendergrass, MD
• Michael Pendleton, D.C., D.A.C.N.B
• Tiffany Ann Pendleton, D.O.
• Annisa Suzette Penfold, PTA
• Jessica Penick, MS, CCC-SLP
• Rebecca Penn
• Sandra F Penn, MD
• Sarah Penn, LPCC
• Isaac Jordan Penner, MA, LPCC

• All providers in Albuquerque, NM
• Obstetrics & Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.