Individual provider Active NPI

Brian Curtis Cheetham, MD

  • Gastroenterology Physician
  • St Thomas, VI
National Provider Identifier
1154541688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
847 Issued in VI
Practice address
9162 Estate Thomas
Bay 10
St Thomas, VI 00802-2687
Phone
(340) 774-1080
Fax
(340) 774-9842
NPI assigned
Apr 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 847 VI Primary

Addresses

Primary practice location

9162 Estate Thomas
Bay 10
St Thomas, VI 00802-2687

Mailing address

9162 Estate Thomas
Bay 10
St Thomas, VI 00802-2687
Phone (340) 774-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 2, 2013 through Apr 2, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
847VIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheetham & Lui PC Past Accepting new patients

Organizations & group practices 1

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154541688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9162 ESTATE THOMAS",
            "address_2": "BAY 10",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022687",
            "telephone_number": "340-774-1080",
            "fax_number": "340-774-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9162 ESTATE THOMAS",
            "address_2": "BAY 10",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022687",
            "telephone_number": "340-774-1080",
            "fax_number": "340-774-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEETHAM",
        "first_name": "BRIAN",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VI",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.