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NPI · 1619781374 · NPPES-sourced

Lorela Pengu

ActivePhysician Assistant
NPI Number
1619781374
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(843) 353-3460
License SC · 5738
Last Updated
About 14 months ago (Mar 2025)
Enumerated 2025-02-04
Primary practice addressSC · 29579-6706
210 Village Center Blvd Ste 200Myrtle Beach, SC 29579-6706
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About this NPIWhat this record shows.

NPI 1619781374 is registered to Lorela Pengu, a Physician Assistant practising at 210 Village Center Blvd Ste 200 in Myrtle Beach, South Carolina. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Lorela Pengu has been enumerated in the National Provider Identifier (NPI) registry since 2025.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2025-02-04
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lorela Pengu accepts. To confirm in-network status with your specific health plan, contact Lorela Pengu directly at (843) 353-3460.

Frequently asked

Yes. NPI 1619781374 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (843) 353-3460.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lorela Pengu is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2025-03
Enumerated2025-02-04
StatusActive
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