Michelle Dolores Penque, MD
NPI 1174571152ActiveIndividual· Pediatrics, Pediatric Emergency Medicine· Buffalo, NY
Pediatrics, Pediatric Emergency Medicine (MD) in Buffalo, New York, licensed in NY, with an NPI issued in May 2006. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1174571152 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 4, 2006 |
| Last updated in NPPES | Jan 20, 2021 |
| Certified by provider | Jan 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Emergency Medicine Primary | 2080P0204X | 200803 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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