Active NPI
Stephanie Frances Cheng, MD
- Diagnostic Radiology Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60470189
- Practice address
- 190 E Bannock St
Boise, ID 83712-6241 - Phone
- (208) 381-2094
- Fax
- (208) 381-1791
- NPI assigned
- Mar 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD60470189 | WA | Primary |
Addresses
Primary practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other practice location 1
19020 33rd Ave W Ste 210
Lynnwood, WA 98036
Phone (425) 563-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356665285 | Medicaid | WA | |
| 2020292 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Weiser Valley Hospital District
Practice addresses (Care Compare)
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2094
645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 549-3152
9221 24TH Ave NW
Seattle, WA 98117-2806
Phone (208) 433-9466
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60470189 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| Boise Radiology Group PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Weiser Valley Hospital District | Current | Accepting new patients | |
| Weiser Valley Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations (25 of 33)
703 S Americana Blvd
Boise, ID 83702
Phone (208) 706-6375
1000 E Park Blvd
Boise, ID 83712
Phone (208) 381-4100
701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400
600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
100 E Idaho St
Boise, ID 83712
Phone (208) 343-3223
3101 E State St
Eagle, ID 83616
Phone (208) 473-3100
1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000
3277 E Louise Dr
Ste 100
Meridian, ID 83642
Phone (208) 706-5217
3140 W Milano Dr
Ste 150
Meridian, ID 83646
Phone (208) 887-4775
895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661
9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282
645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Weiser, ID
- NPI 1255364030
-
- Critical Access Hospital
- Boise, ID
- NPI 1639373772
Diagnostic Radiology, WA
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mountain Home, ID
- NPI 1699013565
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
-
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
-
- Critical Access Hospital
- Weiser, ID
- NPI 1881641629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1356665285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-2094",
"fax_number": "208-381-1791"
}
],
"practiceLocations": [
{
"address_1": "19020 33rd Ave W Ste 210",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "98036",
"country_code": "US",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHENG",
"first_name": "STEPHANIE",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60470189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356665285",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2020292",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.