Individual provider Active NPI

Elise Cheng, M.D.

  • Otolaryngology Physician
  • Greenwich, CT
National Provider Identifier
1174962492
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
66321 Issued in CT
Practice address
49 Lake Ave Ste 103
Greenwich, CT 06830-4519
Phone
(203) 869-2030
Fax
(203) 869-9262
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 66321 CT Primary

Addresses

Primary practice location

49 Lake Ave Ste 103
Greenwich, CT 06830-4519

Mailing address

49 Lake Ave Ste 103
Greenwich, CT 06830-4501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200819003183 CT Practitioner - Otolaryngology 3274838271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York at Stony Brook, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwich Ear Nose and Throat PCGroup PAC ID 5890755193, 9 clinicians

Practice addresses (Care Compare)

49 Lake Ave
Suite 103
Greenwich, CT 06830-4519
Phone (203) 869-2030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66321CTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Oct 21, 2020 Accepting new patients
Greenwich Hospital CurrentSince Oct 21, 2020 Accepting new patients
Greenwich Ear Nose & Throat PC Otolaryngology CurrentSince Sep 8, 2020 Accepting new patients
Associates of Otolaryngology PC Otolaryngology PastSince Mar 9, 2009 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

49 Lake Ave
Ste 205
Greenwich, CT 06830
Phone (203) 869-0177

49 Lake Ave
Ste 103
Greenwich, CT 06830
Phone (203) 869-2030

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

125 Strawberry Hill Ave
Stamford, CT 06902
Phone (203) 348-7571

125 Strawberry Hill Ave
Ste 103
Stamford, CT 06902
Phone (203) 348-7797

Interoperability endpoints

  • Direct secure messaging: echeng488053@direct.ynhh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1174962492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE STE 103",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE STE 103",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304519",
            "telephone_number": "203-869-2030",
            "fax_number": "203-869-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "ELISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "66321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.