Individual provider Active NPI

Michael C Cheung, MD

  • Plastic and Reconstructive Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1972736650
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME122444 Issued in FL
Practice address
906 NE 26TH Ave
Fort Lauderdale, FL 33304-3607
Phone
(954) 533-8029
Fax
(954) 533-6209
NPI assigned
Aug 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME122444 FL Primary

Addresses

Primary practice location

906 NE 26TH Ave
Fort Lauderdale, FL 33304-3607

Mailing address

906 NE 26TH Ave
Fort Lauderdale, FL 33304-3607
Phone (954) 533-8029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160223002766 FL Practitioner - Plastic and Reconstructive Surgery 3173828506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Miami, LM Miller School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cosmetic and Reconstructive Specialists of Florida PLLCGroup PAC ID 9830466515, 2 clinicians

Practice addresses (Care Compare)

910 NE 26 Ave
Fort Lauderdale, FL 33304-3607
Phone (954) 533-8029

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy35
Melanoma (skin cancer) excision36
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122444FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmetic and Reconstructive Specialists of Florida, PLLC Plastic and Reconstructive Surgery CurrentSince Jul 25, 2017 Accepting new patients

Locations

906 NE 26th Ave
Ft Lauderdale, FL 33304
Phone (954) 533-8029

910 NE 26th Ave
Ft Lauderdale, FL 33304
Phone (954) 533-8029

Organizations & group practices 1

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1972736650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 NE 26TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043607",
            "telephone_number": "954-533-8029",
            "fax_number": "954-533-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 NE 26TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043607",
            "telephone_number": "954-533-8029",
            "fax_number": "954-533-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME122444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.