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Mitchell Peng

Physician Assistant • Bronx, NY

Active NPI 1659969095 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

111 E 210th St
Bronx, NY 104672401

Call 7189208874 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 E 210th St

Bronx, NY 104672401

Telephone 7189208874
Organization at the Same NPPES Address or Phone
Metcare Rx Mcp Pharmaceutical Services, Llc Facility NPI 1255364824

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: New York University. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Open Payments general payments, program year 2025

All general payments: $240.90 across 3 records.

By nature of payment

  • Food and Beverage: $240.90 across 3 records.

Reporting-company totals

  • AtriCure, Inc.: $167.01 across 1 record.
  • Ethicon Inc.: $73.89 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mitchell Peng has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mitchell Peng as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bronx and New York

1,015 active clinicians are listed under Physician Assistant with a practice address in Bronx, NY (15,558 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

5.9% of these 1,015 clinicians have the CMS telehealth indicator.

29.3% of these 1,015 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $240.90.

Manufacturer Payment Nature Product Type Amount ($)
AtriCure, Inc.
Food and Beverage
In-kind items and services
SYNERGY ABLATION SYSTEM General $167.01
Ethicon Inc.
Food and Beverage
In-kind items and services
STRATAFIX General $51.87
Ethicon Inc.
Food and Beverage
In-kind items and services
STRATAFIX General $22.02

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NY 026478

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250403001923

Enrollment State Jurisdiction

NY

PECOS Control ID

5092239715

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

New York University

530 1st Ave, New York, NY 100166402

Phone: 2122637300

New York University

550 1st Ave, New York, NY 100166402

Phone: 2122637300

New York University

111 Broadway, New York, NY 100061901

Phone: 2122639700

New York University

560 1st Ave, New York, NY 100166402

Phone: 2122637300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Kaitlyn Jordan , PA-C

Physician Assistant - Surgical

NPI 1497493894

Physician Assistant (Certified)

Camil Mikiej

Physician Assistant

NPI 1497423941
Rachel Spallone

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1336533363
NPI 1609958875

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2021

Physician Assistant (license number reported to NPPES: NY 026478)

âś…
NPI Profile Active January 04, 2021

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 04, 2021

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189208874)

📍
Business Mailing Address (Initial Record) January 04, 2021

Registered at 16 LAWRENCE ST, NEW HYDE PARK, NY 110401721 (Tel: 5169415645)

👤
Provider Name / Credentials (Initial Record) January 04, 2021

Recorded as MITCHELL PENG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 31, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659969095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2020
Last Update: March 24, 2021
Sole Proprietor: No

Other Physician Assistants in Bronx

All Physician Assistants in Bronx

Mailing Address

16 Lawrence St

New Hyde Park, NY 110401721

Phone: 5169415645

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.