Individual provider Active NPI

Tabitha Cheng, MD

  • Emergency Medicine Physician
  • North Adams, MA
National Provider Identifier
1467870253
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
279118 Issued in MA
Practice address
60 Roberts Dr Ste 313
North Adams, MA 01247-3254
Phone
(413) 398-5733
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A142228 CA
Emergency Medicine Physician 207P00000X 279118 MA Primary

Addresses

Primary practice location

60 Roberts Dr Ste 313
North Adams, MA 01247-3254

Mailing address

60 Roberts Dr Ste 313
North Adams, MA 01247-3254
Phone (413) 398-5733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180322002279 CA Practitioner - Emergency Medicine 5890057269 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142228CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Califorina Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Regents of the University of California Emergency Medicine CurrentSince May 28, 2018 Accepting new patients
Regents of the University of California Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Regents of the University of California CurrentSince May 28, 2018 Accepting new patients
Regents of the Unviersity of California Emergency Medicine Past Accepting new patients

Locations

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

200 W Arbor Dr
#8676
San Diego, CA 92103
Phone (619) 543-6213

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1467870253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ROBERTS DR STE 313",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012473254",
            "telephone_number": "413-398-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ROBERTS DR STE 313",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012473254",
            "telephone_number": "413-398-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "TABITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A142228",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "279118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.