BAKHENG PHENG (M.D.) – Internal Medicine Physician, NPI 1083932024

BAKHENG PHENG (M.D.) is a healthcare provider. based in Los angeles, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A112415 (CA). The NPI Number for BAKHENG PHENG (M.D.) is 1083932024

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
BAKHENG PHENG (M.D.)
NPI
1083932024
Phone
(323) 783-4892
Address
4950 W SUNSET BLVD FL 6
Enumeration Date
14 May 2010
Last Update Date
4 November 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
2769671668
Group Practice PAC ID
1759665367
Professional Enrollment ID
I20110107000442
Address ID
CA908135514LO1360XSTXX401

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

21,511 INTERNAL MEDICINE in CA

Provider Addresses for BAKHENG PHENG (M.D.)

  • 4950 W SUNSET BLVD FL 6

    LOS ANGELES, CA 900275822

    Phone: (323) 783-4892

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($30).

Total Amount

$93

General + Research + Ownership

Payments

4

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110107000442IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759665367View full group profile
NameSpecialtyState
Nurse PractitionerCA
C H I R O P R A C T I CCA
Nurse PractitionerCA
Nurse PractitionerCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Nurse PractitionerCA
Internal MedicineCA
Clinical Social WorkerCA
General Practice, Diagnostic RadiologyCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What unique ID ties claims to BAKHENG PHENG (M.D.)?
NPI 1083932024 is assigned to BAKHENG PHENG (M.D.) under the national enumeration system.
Does this profile mean BAKHENG PHENG (M.D.) is currently active?
Yes — BAKHENG PHENG (M.D.) appears active in the national provider directory.
What does BAKHENG PHENG (M.D.) treat or focus on?
Patients typically see BAKHENG PHENG (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does BAKHENG PHENG (M.D.) practice in California?
You will see Los Angeles, California on file for BAKHENG PHENG (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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