Changfu Peng, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39659 Issued in IA

Practice address

3509 E 29TH St
Des Moines, IA 50317-4253

Phone

(515) 248-1600

Fax

(515) 248-1610

NPI assigned

Jun 28, 2011

Last updated

Sep 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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 1

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Care IncGroup PAC ID 8426966755, 72 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpeng3954417@direct.trinity-health.org

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.

• Primary Health Care, Inc.

  dba Primary Health Care-Bery Engebretsen Clinic

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1588692487
  Medicare reassignment Care Compare group NPD
• Primary Health Care, Inc.

  dba Primary Health Care at East High School

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1497522262
  NPD
• Catholic Health Initiatives-Iowa Corp

  dba MercyOne Des Moines Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1508964883
  NPD (past)

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

• Catholic Health Initiatives - Iowa Corp

  dba MercyOne West Des Moines Medical Center

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1538395975
  Care Compare affiliation
• Catholic Health Initiatives-Iowa Corp

  dba MercyOne Des Moines Laboratory

  • Clinical Medical Laboratory
  • Des Moines, IA
  • NPI 1104982743

  Hospital

  Care Compare affiliation
• Catholic Health Initiatives-Iowa Corp

  dba MercyOne Des Moines Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1508964883
  Care Compare affiliation
• Catholic Health Initiatives, Ia-Corp

  dba Mercy Medical Mammography Center

  • Mammography Clinic/Center
  • Des Moines, IA
  • NPI 1477984367

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1760778716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9943 HICKMAN RD",
            "address_2": "SUITE 105",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225304",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 E 29TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503174253",
            "telephone_number": "515-248-1600",
            "fax_number": "515-248-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "CHANGFU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "39659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos A Pelaez Gil, MD
• Julia Elizabeth Pemberton, CTRS
• Angela Pembroke, ARNP
• Alicia L Pena, MS
• Pencroft Psychology Associates LLC
• Vanessa Lynn Penick, MSN, ARNP, AGNP-C
• Kevin James Percival, MD
• Percuoco Chiropractic and Rehabilitation, PLLC
• Jean Percy-Sweet, MPT
• Arturo Jose Perez Peralta, MD

• Internal Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.