NPIMap

Individual provider Active NPI

David Cheng, M.D.

  • Vascular & Interventional Radiology Physician
  • Portland, OR
National Provider Identifier
1811194525
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD158108 Issued in OR
Practice address
5050 NE Hoyt St
Suite 625
Portland, OR 97213-2991
Phone
(503) 731-2904
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OR
Vascular & Interventional Radiology Physician 2085R0204X MD158108 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St
Suite 625
Portland, OR 97213-2991

Mailing address

1125 NW 12TH Ave
Apt. #711
Portland, OR 97209-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20120907000173 OR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2062660590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiology Specialists of the Northwest PCGroup PAC ID 6204829963, 28 clinicians

Practice addresses (Care Compare)

10150 SE 32ND Ave
Portland, OR 97222-6516
Phone (503) 513-8300

1111 NE 99TH Ave
Portland, OR 97220-9428
Phone (503) 935-8000

1321 NE 99TH Ave
Suite 100
Portland, OR 97220-9437
Phone (503) 215-4050

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 657-6704

16180 SE Sunnyside Rd
Suite 102
Clackamas, OR 97015-6302
Phone (503) 582-4900

200 S Hazel Dell Way
Canby, OR 97013-7829
Phone (503) 483-9226

440 NW Division St
Gresham, OR 97030-5506
Phone (503) 215-9500

4805 NE Glisan St
Portland, OR 97213-2933

4920 N Interstate Ave
Portland, OR 97217-3653
Phone (503) 215-3300

5050 NE Hoyt St
Suite 454
Portland, OR 97213-2984
Phone (503) 215-6405

5050 NE Hoyt St
Suite 625
Portland, OR 97213-2990

5050 NE Hoyt St
Suite 625
Portland, OR 97213-2991
Phone (503) 731-2900

810 12TH St
Hood River, OR 97031-1587
Phone (541) 386-3911

9290 SE Sunnybrook Blvd
Suite 120
Clackamas, OR 97015-6802
Phone (503) 215-2110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD158108ORMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 30, 2012 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 14, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 14, 2015 Accepting new patients
Radiology Specialists of the Northwest, PC CurrentSince Mar 26, 2014 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 30, 2012 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

5050 NE Hoyt St
Ste 625
Portland, OR 97213
Phone (503) 731-2900

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

10538 SE Washington St
Portland, OR 97216
Phone (503) 215-0780

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

Organizations & group practices 8

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 7

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1811194525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW 12TH AVE",
            "address_2": "APT. #711",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "SUITE 625",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-731-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "MD158108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.