JOHN Y PENG (MD) – Internal Medicine Physician, NPI 1669485447

JOHN Y PENG (MD) is a healthcare provider. based in Seattle, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00037612 (WA). The NPI Number for JOHN Y PENG (MD) is 1669485447

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JOHN Y PENG (MD)
NPI
1669485447
Phone
(206) 515-5811
Address
1100 9TH AVE
Enumeration Date
14 August 2006
Last Update Date
1 February 2013

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
5597718635
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20050303000348
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,058 INTERNAL MEDICINE in WA

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Provider Addresses for JOHN Y PENG (MD)

  • Virginia Mason Hospital & Seattle Medical Center, 1100, 9th Avenue, Central Business District, First Hill, Seattle, King County, Washington, 98101, United States

    SEATTLE, WA 981012756

    Phone: (206) 515-5811

    Type: Mailing

  • 19116, 33rd Avenue West, Lynnwood, Snohomish County, Washington, 98036, United States

    LYNNWOOD, WA 980364706

    Phone: (425) 771-7500

    Fax: (425) 712-7903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($121).

Total Amount

$137

General + Research + Ownership

Payments

2

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-03-03

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
I20050303000348IInternal MedicineWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes459308$0
36415Insertion of needle into vein for collection of blood sample323260$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit214214$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional12981$0
85610Blood test, clotting time10558$0
View full utilization report →

Insurance plans in this area (ZIP 98101)

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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: 9032020490View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JOHN Y PENG (MD)?
The federal identifier for JOHN Y PENG (MD) is NPI 1669485447.
Is JOHN Y PENG (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOHN Y PENG (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for JOHN Y PENG (MD). Clinical services aligned with this taxonomy classification.
Does JOHN Y PENG (MD) practice in Washington?
You will see Seattle, Washington on file for JOHN Y PENG (MD) alongside any extra practice locations.
Is JOHN Y PENG (MD) a real provider?
This page reflects official NPPES data for NPI 1669485447. Always confirm identity and privileges with the practice and licensing boards.

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