Individual provider Active NPI

Peter Cheung, MD

  • Surgery Physician
  • Yuma, AZ
National Provider Identifier
1427155027
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20055 Issued in AZ
Practice address
1763 W 24TH St
Ste 200
Yuma, AZ 85364
Phone
(928) 782-5535
Fax
(928) 782-9811
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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 20055 AZ Primary
Vascular Surgery Physician 2086S0129X G77369 CA

Addresses

Primary practice location

1763 W 24TH St
Ste 200
Yuma, AZ 85364

Mailing address

1763 W 24TH St
Ste 200
Yuma, AZ 85364
Phone (928) 782-5535

Other identifiers 3

IdentifierTypeStateIssuer
AZ0386660OtherAZBCBS
020046342OtherAZRAILROAD MEDICARE
165698MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051130000385 AZ Practitioner - Vascular SurgeryPractitioner - General Surgery 7416929195 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Oral Roberts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1763 W 24TH St
Suite 200
Yuma, AZ 85364-6219
Phone (928) 782-5535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Mastectomy27
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77369CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 7, 2025 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Jun 2, 2024 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Jun 2, 2024 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Jun 2, 2024 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 7

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 1

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1427155027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 W 24TH ST",
            "address_2": "STE 200",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-782-5535",
            "fax_number": "928-782-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 W 24TH ST",
            "address_2": "STE 200",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-782-5535",
            "fax_number": "928-782-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "20055",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G77369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0386660",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020046342",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165698",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.