Suzette Wei-Ann Peng, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

0101236549 Issued in VA

Practice address

9300 Dewitt Loop FL 1
Fort Belvoir, VA 22060-5285

Phone

(571) 231-1402

Fax

(571) 231-6641

NPI assigned

Dec 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1689658759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 LEDGEROCK CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542155",
            "telephone_number": "202-236-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP FL 1",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-1402",
            "fax_number": "571-231-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "SUZETTE",
        "middle_name": "WEI-ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101236549",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101236549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Paul, M.D.
• Kelly Elizabeth Paulett, OD
• Brayson Pawelczyk, MD
• Nicole Colleen Pelham, M.D.
• Chelsy Pelletier-Blain, LCSW
• Keith Henry Penska, M.D.
• Sandra Ohemaa Peprah, M.D.
• Angela Pereira, PH.D., MSW
• Colleen Frances Perez, M.D.
• Keith Stephen Pernell, PA

• Rheumatology Physician in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Rheumatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.