NPIMap

Individual provider Active NPI

Jason Wing Tcheng, MD, FACS

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Greeley, CO
National Provider Identifier
1215137237
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD60555202 Issued in WA
Practice address
1801 16TH St
Greeley, CO 80631-5154
Phone
(970) 810-3894
Fax
(970) 810-3897
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60555202 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD60555202 WA Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631-5154

Mailing address

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-3894

Other practice location 1

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 810-3894

Other identifiers 2

IdentifierTypeStateIssuer
2044720MedicaidWA
G8941185OtherWAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210819000338 CO Practitioner - Thoracic SurgeryPractitioner - Surgical Oncology 0042522138 Reassigns benefits to 2 organizations
I20250702004295 WY Practitioner - Thoracic Surgery 0042522138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Surgical Oncology
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Hospital Based Physicians Colorado LLCGroup PAC ID 6800031386, 82 clinicians
Cheyenne Regional Physicians Group LLCGroup PAC ID 2961403639, 101 clinicians

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593

4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961

Hospital & facility affiliations

  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60555202WAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Apr 1, 2024 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Apr 1, 2024 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Sep 20, 2021 Accepting new patients
Cheyenne Regional Physicians Group, LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Sep 20, 2021 Accepting new patients

Locations

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311

2301 House Ave
Ste 301
Cheyenne, WY 82001
Phone (307) 637-1600

Organizations & group practices 5

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1215137237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Boise Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805385006",
            "country_code": "US",
            "telephone_number": "970-810-3894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHENG",
        "first_name": "JASON",
        "middle_name": "WING",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-02-06",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60555202",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD60555202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044720",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8941185",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.