Individual provider Active NPI

Jason Shi Cheng, D.O.

  • Emergency Medicine Physician
  • Riverton, WY
National Provider Identifier
1922424506
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.012936 Issued in OH
Practice address
2100 W Sunset Dr
Riverton, WY 82501-2274
Phone
(307) 856-4161
NPI assigned
Mar 6, 2014
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TL5521 WY
Emergency Medicine Physician 207P00000X 34.012936 OH Primary

Addresses

Primary practice location

2100 W Sunset Dr
Riverton, WY 82501-2274

Mailing address

784 Tulip Cir
Weston, FL 33327-2452

Other practice location 1

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WY, AZ, FL, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170720003055 OH Practitioner - Emergency Medicine 4587934708 Reassigns benefits to 4 organizations
I20181218002306 WY Practitioner - Emergency Medicine 4587934708 Reassigns benefits to 1 organization
I20241227000688 AZ Practitioner - Emergency Medicine 4587934708 Reassigns benefits to 1 organization
I20260413000791 FL Practitioner - Emergency Medicine 4587934708 Reassigns benefits to 1 organization
I20260511002970 TX Practitioner - Emergency Medicine 4587934708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (954) 939-5000

US Hwy 160 S
MP 394
Kayenta, AZ 86033-0368
Phone (928) 697-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
81.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.012936OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Emergency Group LLC Single Specialty CurrentSince Aug 12, 2022 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Dec 15, 2024 Accepting new patients
Emergency Professional Services PC Single Specialty CurrentSince Dec 6, 2024 Accepting new patients
Northwest Emergency Physicians LLC Single Specialty CurrentSince Nov 1, 2018 Accepting new patients
Emergency Professional Services PC Single Specialty Current Accepting new patients
Williams Emergency Group, LLC Single Specialty CurrentSince Jul 2, 2021 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Ohio Valley Physicians Inc Single Specialty CurrentSince Dec 15, 2024 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

Organizations & group practices 10

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 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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1922424506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 TULIP CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W SUNSET DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012274",
            "telephone_number": "307-856-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36475 5 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541971",
            "country_code": "US",
            "telephone_number": "734-655-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "JASON",
        "middle_name": "SHI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "TL5521",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.012936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.