Individual provider Active NPI

Peggy Ping Cheng, MD

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1760467104
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PC070972 Issued in MI
Practice address
22255 Greenfield Rd
# 231
Southfield, MI 48075-3728
Phone
(248) 569-0122
Fax
(248) 569-3758
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PC070972 MI Primary

Addresses

Primary practice location

22255 Greenfield Rd
# 231
Southfield, MI 48075-3728

Mailing address

22255 Greenfield Rd Ste 280
Southfield, MI 48075-3712
Phone (248) 849-4990

Other practice location 1

22255 Greenfield Rd Ste 280
Southfield, MI 48075-3712
Phone (248) 849-4990

Other identifiers 1

IdentifierTypeStateIssuer
4231955MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080429000746 MI Practitioner - Internal Medicine 0547349755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

22250 Providence Dr
Southfield, MI 48075-6211

22250 Providence Dr
Southfield, MI 48075-6215

23852 Michigan Ave
Dearborn, MI 48124-1829

47601 Grand River Ave
Novi, MI 48374-1233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC070972MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Oct 1, 2019 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

47601 Grand River Ave
Ste B136
Novi, MI 48374
Phone (248) 465-3940

22255 Greenfield Rd
Ste 280
Southfield, MI 48075
Phone (248) 557-5227

22255 Greenfield Rd
Ste 23
Southfield, MI 48075
Phone (248) 569-0122

22250 Providence Dr
Ste 702
Southfield, MI 48075
Phone (248) 557-9650

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22255 Greenfield Rd
Southfield, MI 48075
Phone (248) 557-7336

22255 Greenfield Rd
Ste 231
Southfield, MI 48075
Phone (248) 569-0122

Interoperability endpoints

  • Direct secure messaging: pcheng1120913@direct.hfhs.org

Organizations & group practices 4

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 4

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1760467104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD STE 280",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753712",
            "telephone_number": "248-849-4990",
            "fax_number": "248-849-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "address_2": "# 231",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753728",
            "telephone_number": "248-569-0122",
            "fax_number": "248-569-3758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22255 Greenfield Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753712",
            "country_code": "US",
            "telephone_number": "248-849-4990",
            "fax_number": "248-849-4991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "PEGGY",
        "middle_name": "PING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "PC070972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4231955",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.