NPIMap

Individual provider Active NPI

Mark W Cheng, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
National Provider Identifier
1871899740
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD183687 Issued in OR
Practice address
1675 SW Marlow Ave Ste 202
Portland, OR 97225
Phone
(503) 430-1777
NPI assigned
Feb 9, 2011
Last updated
May 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A112066 CA
Physical Medicine & Rehabilitation Physician 208100000X MD183687 OR Primary

Addresses

Primary practice location

1675 SW Marlow Ave Ste 202
Portland, OR 97225

Mailing address

1675 SW Marlow Ave Ste 202
Portland, OR 97225-5102
Phone (503) 430-1777

Other practice location 1

10301 Jeffreys St
Henderson, NV 89052-3922
Phone (702) 939-9400

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
I20180410002924 OR Practitioner - Physical Medicine and Rehabilitation 4284867995 Reassigns benefits to 4 organizations
Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians

Practice addresses (Care Compare)

1040 NW 22ND Ave
Suite 520
Portland, OR 97210-3097
Phone (503) 413-7557

19260 SW 65TH Ave
Suite 165
Tualatin, OR 97062-5706
Phone (503) 413-6550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112066CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Meridian Park Hospital CurrentSince Mar 14, 2024 Accepting new patients
Mark W Cheng LLC Physical Medicine & Rehabilitation Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 14, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 14, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Rehabilitation Medicine Associates, PC CurrentSince May 25, 2022 Accepting new patients
CRM Physicians, LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2018 Accepting new patients
Legacy Meridian Park Hospital PastSince Mar 14, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients
Evergreen Oregon Healthcare Portland, L.L.C. Past Accepting new patients
Evergreen Oregon Healthcare Tualatin LLC Past Accepting new patients

Locations

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

1778 NE Cornell Rd
Hillsboro, OR 97124
Phone (503) 648-6621

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

1525 Monmouth St
Independence, OR 97351
Phone (503) 689-6454

1040 NW 22nd Ave
Ste 320
Portland, OR 97210
Phone (503) 413-6294

1040 NW 22nd Ave
Ste 520
Portland, OR 97210
Phone (503) 413-7557

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

12441 SE Stark St
Portland, OR 97233
Phone (503) 225-7040

1675 SW Marlow Ave
Ste 202
Portland, OR 97225

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

5330 NE Prescott St
Portland, OR 97218
Phone (503) 288-6585

820 Cottage St NE
Salem, OR 97301
Phone (503) 399-0202

19250 SW 65th Ave
Ste 250
Tualatin, OR 97062
Phone (503) 692-4820

19260 SW 65th Ave
Ste 165
Tualatin, OR 97062
Phone (503) 413-6534

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

Organizations & group practices 11

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": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1871899740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255102",
            "telephone_number": "503-430-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-430-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Jeffreys St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523922",
            "country_code": "US",
            "telephone_number": "702-939-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-09",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A112066",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD183687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.