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MAXWELL TUO CHENG D.O.
NPI 1083363683
General Practice in Ellsworth Afb, SD

Active since March 21, 2022PECOS Enrolled
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706(605) 385-6700 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maxwell Tuo Cheng D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL TUO CHENG D.O. (NPI 1083363683) is an individual general practice provider in Ellsworth Afb, South Dakota, licensed in Virginia (0102208048) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083363683
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMAXWELL TUO CHENGCredential: D.O.
Location Address2900 DOOLITTLE DREllsworth Afb, SD 57706-4821
Mailing Address2900 Doolittle DrEllsworth Afb, SD 57706-4821 · (605) 385-6700
Phone(605) 385-6700
Sole ProprietorNo
Enumeration DateMarch 21, 2022
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1083363683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102208048
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2900 DOOLITTLE DR, Ellsworth Afb, SD 57706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxwell Tuo Cheng D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTLE CELESTE USERA MSW/CSW-PIP
Social Worker (Clinical)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3656
28TH MEDGRP-ELLSWORTH
Clinic/Center (Military/U.S. Coast Guard Outpatient)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3311
DR. ERIC WALTER JORCZAK PHARM.D.
Pharmacist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3250
ANTHONY ZUNKER
Military Health Care Provider (Independent Duty Medical Technicians)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3002
DR. MICHAEL SCOTT BOGAARD O.D.
Optometrist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3281
DIANE RAMIREZ IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 835-3332
DR. LAUREN KAY MATTHEWS OD
Optometrist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3283
MICHAEL J VADOVSKY PA
Physician Assistant
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxwell Cheng's NPI number?

The NPI number for Maxwell Cheng is 1083363683. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Maxwell Cheng located?

Maxwell Cheng practices at 2900 Doolittle Dr, Ellsworth Afb, SD 57706. The listed phone number is (605) 385-6700.

What is Maxwell Cheng's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Maxwell Cheng enrolled in Medicare?

Yes. Maxwell Cheng is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxwell Cheng was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.