Edwin Cheung, MD
Individual provider Active NPI Vascular Surgery Physician · Deland, FL
NPI 1073010674 · NPPES record last updated Feb 10, 2024
Key facts
- NPI
- 1073010674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 163931 (FL)
- Practice address
- 999 N Stone St Ste B
Deland, FL 32720-0800 - Phone
- (386) 943-3018
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Healthcare Partners, Inc
Practice addresses (Care Compare)
701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522
Hospital & facility affiliations
- Adventhealth Home Health
- Adventhealth Daytona Beach
- Adventhealth Deland
- Adventhealth Fish Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 11 |
| Leg revascularization (restoring blood flow) | 51 |
| Removal of tissue | 17 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230922000066 | FL | Practitioner - Vascular Surgery | 9133573397 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163931 | FL | MD | Vascular Surgery Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Current |
Accepting new patients | |
| Memorial Hospital-West Volusia Inc | Current |
Accepting new patients | |
| Memorial Hospital-West Volusia Inc | Current |
Accepting new patients |
Locations
305 Memorial Medical Pkwy
Ste 308
Daytona Beach, FL 32117
Phone (386) 231-3602
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
1070 N Stone St
Ste C
Deland, FL 32720
Phone (386) 734-1013
999 N Stone St
Ste B
Deland, FL 32720
Phone (386) 740-4015
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Networks
- Freedom Health HMO Network
Interoperability endpoints
- echeung1830941@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 163931 | FL | Yes |
Addresses
Primary practice location
999 N Stone St Ste B
Deland, FL 32720-0800
Mailing address
999 N Stone St Ste B
Deland, FL 32720-0800
Phone (386) 943-3018
Other practice location 1
305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 32117-5137
Phone (386) 231-3600
Other providers in Deland, FL
- Allen Kenneth Chalk
- Kathleen Chapin
- Scott Chaput
- Laura C Chase
- Marjorie Cheng
- Siu Cheung
- Eliza Jane Chevalier
- Li-Yin Chiang
- Mary F Chilson
- Chiro Nomad, LLC
All providers in Deland, FL · Vascular Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.