NPIMap

Individual provider Active NPI

Yai-Yun Judy Cheng, MD

  • Obstetrics & Gynecology Physician
  • Conroe, TX
National Provider Identifier
1194759258
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J4039 Issued in TX
Practice address
303 Longmire Rd
Ste 301
Conroe, TX 77304-2176
Phone
(936) 539-4449
Fax
(936) 539-3349
NPI assigned
Jul 11, 2006
Last updated
Jun 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J4039 TX Primary

Addresses

Primary practice location

303 Longmire Rd
Ste 301
Conroe, TX 77304-2176

Mailing address

303 Longmire Rd
Ste 301
Conroe, TX 77304-2176
Phone (936) 539-4449

Other identifiers 1

IdentifierTypeStateIssuer
122207703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000249 TX Practitioner - Obstetrics/Gynecology 5496746190 Reassigns benefits to 1 organization
Practice locations: Conroe, TX

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conroe Montgomery Physicians Group, PLLCGroup PAC ID 1850547365, 14 clinicians

Practice addresses (Care Compare)

303 Longmire Rd
Unit 301
Conroe, TX 77304-2176
Phone (936) 539-4449

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4039TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Montgomery Physicians Group, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Chca Conroe LP Past Accepting new patients

Locations

303 Longmire Rd
Unit 301
Conroe, TX 77304
Phone (936) 539-4449

508 Medical Center Blvd
Ste 150
Conroe, TX 77304
Phone (836) 760-4600

Interoperability endpoints

  • Direct secure messaging: yaiyun.cheng@hca9.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1194759258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LONGMIRE RD",
            "address_2": "STE 301",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042176",
            "telephone_number": "936-539-4449",
            "fax_number": "936-539-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LONGMIRE RD",
            "address_2": "STE 301",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042176",
            "telephone_number": "936-539-4449",
            "fax_number": "936-539-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "YAI-YUN",
        "middle_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J4039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122207703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.