Organization Active NPI

Internal Medicine Associates Dr Cheng LLC

  • Internal Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1386985174
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0065505 Issued in MD
Legal business name
INTERNAL MEDICINE ASSOCIATES DR CHENG LLC
Practice address
16009 Comprint Cir
Gaithersburg, MD 20877-1318
Phone
(301) 339-8264
Fax
(301) 339-8257
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Authorized official

Name
Qiufang Cheng, MDNPI 1073734810
Title
Owner
Phone
(240) 506-9479

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0065505 MD Primary

Addresses

Primary practice location

16009 Comprint Cir
Gaithersburg, MD 20877-1318

Mailing address

16009 Comprint Cir
Gaithersburg, MD 20877-1318
Phone (301) 339-8264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130709000207 DC Part B Supplier - Clinic/Group Practice 1254571672 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

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": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684022400000",
    "number": "1386985174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16009 COMPRINT CIR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771318",
            "telephone_number": "301-339-8264",
            "fax_number": "301-339-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16009 COMPRINT CIR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771318",
            "telephone_number": "301-339-8264",
            "fax_number": "301-339-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES DR CHENG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "QIUFANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-506-9479",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0065505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.