Individual provider Active NPI

Derek T Cheuk, MD

  • Anesthesiology Physician
  • Elkhart, IN
National Provider Identifier
1295719797
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01049198A Issued in IN
Practice address
3080 Windsor CT
Suite 8
Elkhart, IN 46514-5555
Phone
(574) 266-7817
Fax
(574) 266-7943
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01049198A IN Primary

Addresses

Primary practice location

3080 Windsor CT
Suite 8
Elkhart, IN 46514-5555

Mailing address

541 Otis Bowen Dr
Munster, IN 46321-4158
Phone (219) 934-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20051213000780 IN Practitioner - Anesthesiology 2466365275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Human Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Anesthesia PCGroup PAC ID 1951322353, 28 clinicians

Practice addresses (Care Compare)

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

3800 Saint Mary Rd
Valparaiso, IN 46383-3986
Phone (219) 286-3700

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Community Hospital Hospital, Munster, IN, CCN 150125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049198AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Anesthesia, P.C. Anesthesiology CurrentSince Nov 14, 2005 Accepting new patients
Anesthesia Consultants of Indiana, LLC Anesthesiology Past Accepting new patients
Great Lakes Anesthesia, P.C. Anesthesiology Past Accepting new patients

Locations

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

Organizations & group practices 3

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 3

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295719797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 OTIS BOWEN DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214158",
            "telephone_number": "219-934-5300",
            "fax_number": "219-934-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 WINDSOR CT",
            "address_2": "SUITE 8",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145555",
            "telephone_number": "574-266-7817",
            "fax_number": "574-266-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUK",
        "first_name": "DEREK",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01049198A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.