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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GEORGE ROBERT CHEESEMAN IV MD
NPI 1912535279
Radiology - Pediatric Radiology in Travis Afb, CA

Active since March 31, 2020PECOS Enrolled
60 MDG/SGQQ, 101 BODIN CIR., TRAVIS AFB, CA 94535(707) 423-7208 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 2, 2026, Jul 23, 2026, Mar 31, 2020 (3 updates tracked since 2020).

About George Robert Cheeseman Iv Md NPPES

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

GEORGE ROBERT CHEESEMAN IV MD (NPI 1912535279) is an individual pediatric radiology provider in Travis Afb, California, licensed in Virginia (0101275046) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912535279
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameGEORGE ROBERT CHEESEMAN IVCredential: MD
Location Address60 MDG/SGQQ, 101 BODIN CIR.Travis Afb, CA 94535-1809
Mailing Address60 Mdg/sgqq, 101 Bodin Cir.Travis Afb, CA 94535-1809
Phone(707) 423-7208
Sole ProprietorNo
Enumeration DateMarch 31, 2020
Last NPPES UpdateAugust 2, 20263 updates tracked since enumeration
NPPES CertifiedAugust 2, 2026
✔ NPI 1912535279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in VA · 0101275046
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
60 MDG/SGQQ, Travis Afb, CA 94535
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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)

George Robert Cheeseman Iv Md 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

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

PRAJEET KAZA MD
Radiology (Diagnostic Radiology)
60 MDG/SGQQ, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-7208

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 George Cheeseman's NPI number?

The NPI number for George Cheeseman is 1912535279. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is George Cheeseman located?

George Cheeseman practices at 60 Mdg/Sgqq 101 Bodin Cir., Travis Afb, CA 94535. The listed phone number is (707) 423-7208.

What is George Cheeseman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is George Cheeseman enrolled in Medicare?

Yes. George Cheeseman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for George Cheeseman was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.