Active NPI
David M Cheng, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Rockford, IL
National Provider Identifier
1194781849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036082348
- Practice address
- 2350 N Rockton Ave
RMB 1St Floor
Rockford, IL 61103 - Phone
- (815) 971-2485
- NPI assigned
- Apr 21, 2006
- Last updated
- Mar 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036082348 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036082348 | IL | Primary |
Addresses
Primary practice location
2350 N Rockton Ave
RMB 1St Floor
Rockford, IL 61103
Mailing address
2650 Warrenville Rd
Ste 280
Downers Grove, IL 60515
Phone (630) 324-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202172 | Other | URBANA ROCKFORD MOLINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1194781849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 WARRENVILLE RD",
"address_2": "STE 280",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-324-7900",
"fax_number": "630-324-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 N ROCKTON AVE",
"address_2": "RMB 1ST FLOOR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61103",
"telephone_number": "815-971-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036082348",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036082348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "URBANA ROCKFORD MOLINE",
"identifier": "202172",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.