Kellvan J Cheng, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1763 Issued in TX

Practice address

4425 Plano Pkwy Ste 1702
Carrollton, TX 75010-5038

Phone

(214) 710-1028

Fax

(214) 710-1029

NPI assigned

Jul 17, 2006

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmckcheng@yourcarecommunity.org

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.

• Kellvan J Cheng, DPM, PA

  dba Elite Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
  • NPI 1134352289
  Medicare reassignment NPD Authorized official
• Ronica N. Holcomble, DPM, PA

  dba North Texas Foot Ankle

  • Foot & Ankle Surgery Podiatrist
  • Irving, TX
  • NPI 1588706964
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1538187067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 1702",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105038",
            "telephone_number": "214-710-1028",
            "fax_number": "214-710-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 1702",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105038",
            "telephone_number": "214-710-1028",
            "fax_number": "214-710-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "KELLVAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7127822",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7061140",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "42SV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDV ID",
            "identifier": "8W2360",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley A Cheek
• Chelmin Yeu OD, PLLC (Carrollton Vision)
• Chelseadme, LLC
• Ann Marie Haney Chen, LCSW
• Yuexi Chen, DDS
• Cher Carrollton LLC (Castle Hills ER)
• Renwick Chestang, PHARM.D.
• Chihal ENT Associates PA
• David M. Chihal, M.D.
• Helen Jane Chihal, M.D.

• Foot & Ankle Surgery Podiatrist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.

Verify at the official NPI Registry.