NPIMap

Individual provider Active NPI

Matthew Cheng, MD

  • Pulmonary Disease Physician
  • Salem, OH
National Provider Identifier
1801845524
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35092716 Issued in OH
Practice address
2094 E. State St.
Suite G
Salem, OH 44460-9998
Phone
(330) 337-0177
Fax
(330) 337-0178
NPI assigned
May 9, 2006
Last updated
Jun 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35092716 OH Primary

Addresses

Primary practice location

2094 E. State St.
Suite G
Salem, OH 44460-9998

Mailing address

8423 Market St.
Suite 100
Youngstown, OH 44512-6778
Phone (330) 707-5864

Other identifiers 5

IdentifierTypeStateIssuer
020567610LOtherOHAULTCARE
020567610OtherOHFEDERAL BLACK LUNG
000000600306OtherOHANTHEM BLUE CROSS/BLUE SHIELD
2907420MedicaidOH
020567610OtherOHCOMMERCIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000216 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5395751549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Pulmonary and Critical Care Medicine IncGroup PAC ID 6507133477, 3 clinicians

Practice addresses (Care Compare)

250 Debartolo PL
Suite 1630
Boardman, OH 44512-6088
Phone (330) 707-5864

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35092716OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Pulmonary and Critical Care Medicine Inc Pulmonary Disease CurrentSince Apr 8, 2017 Accepting new patients
Mercy Health Youngstown LLC PastSince Apr 8, 2017 Accepting new patients
Select Specialty Hospital Youngstown Inc Past Accepting new patients

Locations

250 Debartolo Pl
Ste 1630
Youngstown, OH 44512
Phone (330) 707-5864

Interoperability endpoints

  • Direct secure messaging: mcheng34912@direct.bsmhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1801845524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 MARKET ST.",
            "address_2": "SUITE 100",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126778",
            "telephone_number": "330-707-5864",
            "fax_number": "330-707-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 E. STATE ST.",
            "address_2": "SUITE G",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444609998",
            "telephone_number": "330-337-0177",
            "fax_number": "330-337-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35092716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AULTCARE",
            "identifier": "020567610L",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "020567610",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
            "identifier": "000000600306",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2907420",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "020567610",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.