Individual provider Active NPI

Sam Siu Lun Cheng, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1467430082
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101840449 Issued in VA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jan 4, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 042-0011644 VT
Diagnostic Radiology Physician 2085R0202X 0101840449 VA Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (790) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX, VT, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080212000064 VA Practitioner - Diagnostic Radiology 5991696882 Reassigns benefits to 13 organizations
I20110104000370 TX Practitioner - Diagnostic Radiology 5991696882 Reassigns benefits to 2 organizations
I20170320002138 VT Practitioner - Diagnostic Radiology 5991696882 Reassigns benefits to 2 organizations
I20170412000714 SC Practitioner - Diagnostic Radiology 5991696882

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Georgia Magnetic Imaging Center LTDGroup PAC ID 0042205775, 39 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians
Central Georgia MRI LLCGroup PAC ID 5597752261, 46 clinicians
Radiology Associates of Macon PCGroup PAC ID 7113817701, 64 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (855) 504-4544

12301 Ellaberry LN
Glen Allen, VA 23059-7618
Phone (818) 639-2901

20717 Ashburn Valley CT
Ashburn, VA 20147-4660
Phone (317) 805-4093

2911 Ellwood Ave
Richmond, VA 23221-3021
Phone (281) 742-0469

300 59TH St
Virginia Beach, VA 23451-2261
Phone (901) 765-3213

3137 Stonewood Dr
Virginia Beach, VA 23456-1563
Phone (952) 595-1100

559 S Poes Rd
Amissville, VA 20106-4007
Phone (623) 299-8743

6470 Pocahontas LN
Hayes, VA 23072-3221
Phone (615) 312-0600

8436 Link Hills Loop
Gainesville, VA 20155-3247
Phone (952) 595-1100

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101840449VAMDDiagnostic Radiology Physician
042-0011644VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Olean General Hospital CurrentSince Sep 8, 2025 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Feb 11, 2017 Accepting new patients
Georgia Magnetic Imaging Center LTD Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Central Georgia MRI LLC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Feb 11, 2017 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 19, 2022 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Carlos G. Otis Health Care Center Inc. CurrentSince Oct 14, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 4, 2018 Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center Current Accepting new patients
Warren General Hospital CurrentSince Dec 1, 2024 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 4, 2018 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Sep 29, 2023 Accepting new patients
Sidney Health Center CurrentSince Jul 27, 2017 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Sidney Health Center CurrentSince Jul 27, 2017 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Sep 29, 2018 Accepting new patients
Self Regional Healthcare Partners Diagnostic Radiology Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Dec 29, 2010 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Fair Oaks Imaging Center, PC Diagnostic Radiology PastSince Jul 2, 2001 Accepting new patients
MRI of Reston, LP Diagnostic Radiology PastSince Apr 23, 2023 Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology Past Accepting new patients
Loudoun Imaging Center Diagnostic Radiology Past Accepting new patients
Open MRI & CT of Woodholme, LLC Past Accepting new patients
Reston Radiology Consultants Interventional Services, LLC Past Accepting new patients
Piedmont Diagnostic Radiology PC Diagnostic Radiology Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients
Western Regional Medical Center, Inc. Past Accepting new patients
Potomac Radiology & Imaging Associates Inc Diagnostic Radiology Past Accepting new patients
Wishon Radiological Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Virginia Radiological Associates PLLC Diagnostic Radiology Past Accepting new patients
Alameda Health System Past Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology Past Accepting new patients
Central Vermont Medical Center Inc Past Accepting new patients
South Georgia Medical Center Past Accepting new patients
Reston Radiology Associates Diagnostic Radiology Past Accepting new patients
California Cancer Specialists Medical Group Inc Past Accepting new patients
Pet of Reston, LP Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients
Northern Virginia Radiology Consultants, PLLC Diagnostic Radiology Past Accepting new patients
Lakeview Medical Center, LLC Past Accepting new patients

Locations (25 of 57)

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

10 Little Brook Rd
West Wareham, MA 02576

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 495-7730

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/1e652adb-d6d8-4094-bdfc-81d32d2a7070

Organizations & group practices 48

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 48

Hospital & facility affiliations 5

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1467430082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "790-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "SAM",
        "middle_name": "SIU LUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0011644",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101840449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.