Justin Cheongsiatmoy, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A120867 Issued in CA

Practice address

24 S Weber St Ste 200
Colorado Springs, CO 80903-1928

Phone

(424) 652-8506

NPI assigned

Jan 25, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, CO, ME, SD, SC, IA, IL, NY, OH, MS, AR, TN, AL, MT, OR, WI, GA, MO, MA19 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 19

Specialty

Neurology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuromonitoring Services of America IncGroup PAC ID 1850452905, 19 clinicians

The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
• Mercy Medical Center Hospital, Canton, OH, CCN 360070
• Akron General Medical Center Hospital, Akron, OH, CCN 360027
• Mayo Clinic Health System Eau Claire Hospital Hospital, Eau Claire, WI, CCN 520070
• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• MS PPO
• LA PPO C-SNP
• TX HMO D-SNP
• MS PPO C-SNP
• MS PPO D-SNP
• TX HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  Medicare reassignment Care Compare group NPD
• Neuromonitoring Services of America, Inc

  • Neurology Physician
  • Colorado Springs, CO
  • NPI 1134307531

  AL, CA, GA, IA, IL, MA, ME, MO, MS, MT, OH, OR, SC, SD, TN, WI

  Medicare reassignment Care Compare group
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1003021452
  Medicare reassignment Care Compare group
• Aspirus Wausau Hospital, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1922321140
  Medicare reassignment NPD
• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Medicare reassignment NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1144272089
  NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1669595294
  NPD
• Aspirus Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Wausau, WI
  • NPI 1942084199
  NPD
• Aspirus Wausau Hospital Inc

  • Clinic/Center
  • Wausau, WI
  • NPI 1588994933
  NPD
• Aspirus Wausau Hospital, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wausau, WI
  • NPI 1225905102
  NPD
• Mercy Medical Center-Dubuque

  • Psychiatric Hospital Unit
  • Dubuque, IA
  • NPI 1851326920
  NPD
• The Metrohealth System

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  Care Compare affiliation
• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation
• Mainehealth

  • Orthopaedic Trauma Physician
  • Portland, ME
  • NPI 1003113127

  Hospital

  Care Compare affiliation
• Mainehealth

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1023321593

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Scarborough, ME
  • NPI 1053647024
  Care Compare affiliation
• Mainehealth

  • Maternal & Fetal Medicine Physician
  • Portland, ME
  • NPI 1063726891

  Hospital

  Care Compare affiliation
• Mainehealth

  • Infectious Disease Physician
  • Portland, ME
  • NPI 1073701157

  Hospital

  Care Compare affiliation
• Mainehealth

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, ME
  • NPI 1164610242

  Hospital

  Care Compare affiliation
• Mainehealth

  • Pediatric Critical Care Medicine Physician
  • Portland, ME
  • NPI 1265536817

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1346267879
  Care Compare affiliation
• Mainehealth

  • Endocrinology, Diabetes & Metabolism Physician
  • Scarborough, ME
  • NPI 1356651038

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1003187808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S WEBER ST STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031928",
            "telephone_number": "424-652-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S WEBER ST STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031928",
            "telephone_number": "424-652-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEONGSIATMOY",
        "first_name": "JUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A120867",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A120867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A120867",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Chen, MD
• Paola Chen
• Patriece Chenery Johnson
• Juan Cheng
• Rich Cheng
• Matthew Steven Chernikovich, PA-C
• Lisa Marie Cherryhomes
• Cheryl Sue Jutras Limited
• Ashley Chesney
• Kevin Male Chesney

• Neurology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.