Active NPI
Siri Sunderi Cheng, M.D.
- Otolaryngology Physician
- Martinez, CA
National Provider Identifier
1992853600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A94243
- Practice address
- 2500 Alhambra Ave
Martinez, CA 94553-3156 - Phone
- (510) 395-2827
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01067065A | IN | |
| Otolaryngology Physician | 207Y00000X | A94243 | CA | Primary |
Addresses
Primary practice location
2500 Alhambra Ave
Martinez, CA 94553-3156
Mailing address
2500 Alhambra Ave
Martinez, CA 94553-3156
Phone (925) 370-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GW571A | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067065A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Otolaryngology Associates, LLC | Otolaryngology | Past | Accepting new patients |
Locations
2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000
2311 Loveridge Rd
Pittsburg, CA 94565
Phone (800) 495-8885
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEEADA
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, CA
- NPI 1205152782
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- Otolaryngology Physician
- Indianapolis, IN
- NPI 1447398839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642204800000",
"number": "1992853600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ALHAMBRA AVE",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945533156",
"telephone_number": "925-370-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ALHAMBRA AVE",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945533156",
"telephone_number": "510-395-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "SIRI SUNDERI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2022-01-15",
"certification_date": "2022-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01067065A",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A94243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GW571A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.