Individual provider Active NPI

Danny Cheng, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1174021869
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9110951 Issued in FL
Practice address
1222 S Orange Ave
Orlando, FL 32806-1215
Phone
(407) 423-7777
Fax
(407) 423-1380
NPI assigned
Jan 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA9110951 FL Primary

Addresses

Primary practice location

1222 S Orange Ave
Orlando, FL 32806-1215

Mailing address

1222 S Orange Ave
Orlando, FL 32806-1215
Phone (407) 423-7777

Other practice location 1

1222 S Orange Ave Fl 5
Orlando, FL 32806-1215
Phone (407) 649-6878

Other identifiers 1

IdentifierTypeStateIssuer
024017100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618000822 FL Practitioner - Physician Assistant 0941555817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2295 Glenwood Dr
Winter Park, FL 32792-3311
Phone (352) 252-0327

2955 Pineda Plaza Way
Suite 121
Melbourne, FL 32940-7307
Phone (321) 252-3027

75 Fox Ridge CT
Suite D
Debary, FL 32713-2701
Phone (321) 252-0327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9110951FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Vein Care Specialists LLC CurrentSince Jan 2, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2018 Accepting new patients

Locations

75 Fox Ridge Ct
Ste D
Debary, FL 32713
Phone (386) 668-4420

13710 Metropolis Ave
Ste 108
Fort Myers, FL 33912
Phone (239) 306-8388

2955 Pineda Plaza Way
Ste 121
Melbourne, FL 32940
Phone (321) 252-3027

7975 Lake Underhill Rd
Ste 240
Orlando, FL 32822
Phone (407) 208-0077

1222 S Orange Ave
Fl 5
Orlando, FL 32806
Phone (321) 841-1745

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Interoperability endpoints

  • Direct secure messaging: danny.cheng.1@7464.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7464/brand/1/csg/1/fhir/r4

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": "1517011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1174021869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "407-423-7777",
            "fax_number": "407-423-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "407-423-7777",
            "fax_number": "407-423-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 S Orange Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061215",
            "country_code": "US",
            "telephone_number": "407-649-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "DANNY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-27",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9110951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024017100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.