Individual provider Active NPI

Kenneth H. Cheung, M.D.

  • Neurology Physician
  • Elk Grove, CA
National Provider Identifier
1639313497
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A117046 Issued in CA
Practice address
8220 Wymark Dr Ste 200
Elk Grove, CA 95757-6298
Phone
(916) 667-0600
Fax
(916) 683-0232
NPI assigned
Apr 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A117046 CA Primary

Addresses

Primary practice location

8220 Wymark Dr Ste 200
Elk Grove, CA 95757-6298

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 861-1486

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
I20130819000410 CA Practitioner - Neurology 4789826975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, Davis School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

8220 Wymark Dr
Suite 200
Elk Grove, CA 95757-6298
Phone (916) 667-0600

Hospital & facility affiliations

  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Aug 6, 2013 Accepting new patients
Dignity Health Medical Foundation CurrentSince Aug 6, 2013 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

6555 Coyle Ave
Ste 390
Carmichael, CA 95608
Phone (916) 536-2596

8220 Wymark Dr
Ste 200
Elk Grove, CA 95757
Phone (916) 667-0600

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

550 W Ranch View Dr
Ste 3000
Rocklin, CA 95765
Phone (916) 409-1400

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3000 Q St
Fl 4
Sacramento, CA 95816
Phone (916) 733-5700

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 3

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1639313497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-861-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WYMARK DR STE 200",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576298",
            "telephone_number": "916-667-0600",
            "fax_number": "916-683-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "KENNETH",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A117046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.