Individual provider Active NPI

Yao-Chieh Cheng, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1114546884
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD482819 Issued in PA
Practice address
330 W Oregon Ave Ste 170
Philadelphia, PA 19148-4748
Phone
(267) 338-3411
Fax
(267) 780-7332
NPI assigned
Apr 13, 2020
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD482819 PA Primary
Internal Medicine Physician 207R00000X 65924 CT

Addresses

Primary practice location

330 W Oregon Ave Ste 170
Philadelphia, PA 19148-4748

Mailing address

330 W Oregon Ave Ste 170
Philadelphia, PA 19148-4748
Phone (267) 338-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231006001063 PA Practitioner - Internal Medicine 8527480110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 N 8TH St
Suite 104
Philadelphia, PA 19107-5157
Phone (215) 955-5279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65924CTMDInternal Medicine Physician
MD482819PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Pennsylvania Holding, LLC CurrentSince Sep 20, 2023 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Sep 20, 2023 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

330 W Oregon Ave
Ste 170
Philadelphia, PA 19148
Phone (267) 338-3411

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1114546884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W OREGON AVE STE 170",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484748",
            "telephone_number": "267-338-3411",
            "fax_number": "267-780-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W OREGON AVE STE 170",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484748",
            "telephone_number": "267-338-3411",
            "fax_number": "267-780-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "YAO-CHIEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD482819",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "65924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.