Individual provider Active NPI

Shu Chin Cheng, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1073764064
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 9281137 Issued in FL
Practice address
650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone
(602) 277-5551
Fax
(602) 200-2305
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP 9281137 FL Primary
Certified Registered Nurse Anesthetist 367500000X CRNA0750 AZ

Addresses

Primary practice location

650 E Indian School Rd
Phoenix, AZ 85012-1839

Mailing address

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone (602) 277-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000839 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406919794 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians
Amsurg North Valley Anesthesia LLCGroup PAC ID 7416121447, 4 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

15255 N 40TH St
BLDG 8 Suite 157
Phoenix, AZ 85032-4683
Phone (602) 482-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP 9281137FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Anesthesia Services, LLC CurrentSince Mar 1, 2019 Accepting new patients
Sunset Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2019 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Coronado Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Amsurg North Valley Anesthesia LLC CurrentSince Feb 14, 2019 Accepting new patients
Pacific Sonoran Anesthesia LLC CurrentSince Feb 14, 2019 Accepting new patients
East Valley Endoscopy LLC Past Accepting new patients

Locations

17505 N 79th Ave
Ste 304A
Glendale, AZ 85308
Phone (480) 407-6402

16390 N 59th Ave
Ste 100
Glendale, AZ 85306
Phone (623) 298-1820

17505 N 79th Ave
Ste 304E
Glendale, AZ 85308

16390 N 59th Ave
Ste 200
Glendale, AZ 85306
Phone 62333440007337

6020 E Arbor Ave
Ste 105
Mesa, AZ 85206
Phone (480) 830-2005

6020 E Arbor Ave
Ste 101
Mesa, AZ 85206
Phone (480) 985-1700

349 E Coronado Rd
Phoenix, AZ 85004
Phone (602) 266-5678

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

15255 N 40th St
Ste 157
Phoenix, AZ 85032
Phone (602) 482-1001

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

9815 N 95th St
Scottsdale, AZ 85258
Phone (800) 626-7054

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1073764064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "602-277-5551",
            "fax_number": "602-200-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "602-277-5551",
            "fax_number": "602-200-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "SHU CHIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9281137",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.