NPIMap

Individual provider Active NPI

Yen-Yi Peng, MD

  • Neurology Physician
  • Reno, NV
National Provider Identifier
1891951638
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
15710 Issued in NV
Practice address
500 Damonte Ranch Pkwy Ste 1030
Reno, NV 89521-5968
Phone
(775) 432-6189
Fax
(775) 284-5625
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 15710 NV
Neurology Physician 2084N0400X 15710 NV Primary

Addresses

Primary practice location

500 Damonte Ranch Pkwy Ste 1030
Reno, NV 89521-5968

Mailing address

500 Damonte Ranch Pkwy Ste 1030
Reno, NV 89521-5968
Phone (775) 432-6189

Other identifiers 2

IdentifierTypeStateIssuer
11872821OtherNVCAQH
036110040MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150518000703 NV Practitioner - Neurology 1951477421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peng MD PLLCGroup PAC ID 8628304813, 3 clinicians

Practice addresses (Care Compare)

500 Damonte Ranch Pkwy
Suite 1030
Reno, NV 89521-5968
Phone (775) 432-6189

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.19 of 100Reported as group
Quality
83.42
Improvement activities
0
Cost
71.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15710NVMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peng MD PLLC Neurology CurrentSince May 1, 2019 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Memorial Medical Center Past Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients

Locations

236 W 6th St
Ste 307
Reno, NV 89503
Phone (775) 323-8500

500 Damonte Ranch Pkwy
Ste 1030
Reno, NV 89521
Phone (775) 432-6189

236 W 6th St
Ste 401
Reno, NV 89503
Phone (775) 323-2167

Interoperability endpoints

  • Direct secure messaging: yypeng@pmp-nv.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1891951638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DAMONTE RANCH PKWY STE 1030",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215968",
            "telephone_number": "775-432-6189",
            "fax_number": "775-284-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAMONTE RANCH PKWY STE 1030",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215968",
            "telephone_number": "775-432-6189",
            "fax_number": "775-284-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "YEN-YI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "15710",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "15710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11872821",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110040",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.