NPIMap

Organization Active NPI

CCM Specialty Care LLC

Doing business as CCM Pediatric Cardiology

  • Pediatric Cardiology Physician
  • Bellevue, WA
National Provider Identifier
1265225023
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
CCM SPECIALTY CARE LLC
Doing business as
CCM Pediatric Cardiology
Practice address
1940 116TH Ave NE Ste 200B
Bellevue, WA 98004-3097
Phone
(425) 276-1825
Fax
(855) 785-8770
NPI assigned
May 26, 2025
Organization subpart
Yes
Parent organization
CCM SPECIALTY CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Dr. Christopher Cheng, MDNPI 1447561444
Title
Medical Director
Phone
(425) 276-1825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X Primary
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X
Cardiovascular Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0105X

Addresses

Primary practice location

1940 116TH Ave NE Ste 200B
Bellevue, WA 98004-3097

Mailing address

710 S 348TH St Ste B
Federal Way, WA 98003-7042
Phone (425) 276-1825

Other names 1

  • CCM Pediatric Cardiology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CCM Specialty Care LLC6 organizations share this tax ID, including this one
Part of
CCM Specialty Care LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1940 116th Ave NE
Ste 200B
Bellevue, WA 98004
Phone (425) 276-1825

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1265225023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 348TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037042",
            "telephone_number": "425-276-1825",
            "fax_number": "855-785-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE STE 200B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043097",
            "telephone_number": "425-276-1825",
            "fax_number": "855-785-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCM SPECIALTY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCM SPECIALTY CARE LLC",
        "enumeration_date": "2025-05-26",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-276-1825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCM Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.