Active NPI
David K Chang, MD
- Orthopaedic Surgery Physician
- Warrenville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036064629
- Practice address
- 27650 Ferry Rd
Suite 100
Warrenville, IL 60555-3845 - Phone
- (630) 225-2663
- Fax
- (630) 225-2399
- NPI assigned
- Oct 21, 2005
- Last updated
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036064629 | IL | Primary |
Addresses
Primary practice location
27650 Ferry Rd
Suite 100
Warrenville, IL 60555-3845
Mailing address
27650 Ferry Rd
Suite 100
Warrenville, IL 60555-3845
Phone (630) 225-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01130143 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Michigan Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3860 W Ogden Ave
Chicago, IL 60623-2460
Phone (872) 588-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Lawndale Christian Health Center | Current | Accepting new patients | |
| Lawndale Christian Health Center | Current | Accepting new patients | |
| Lawndale Christian Health Center | Current | Accepting new patients | |
| Central Dupage Physician Group | Orthopaedic Surgery | Current | Accepting new patients |
Locations
515 Thornhill Dr
Carol Stream, IL 60188
Dept 5777
Carol Stream, IL 60122
3860 W Ogden Ave
Chicago, IL 60623
Phone (872) 588-3000
4696 Paysphere Cir
Chicago, IL 60674
27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345
27650 Ferry Rd
Ste 100
Warrenville, IL 60555
Phone (630) 225-2455
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- dchang690692@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1245289214
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Health Educator
- Chicago, IL
- NPI 1588537641
-
dba Lawndale Christian Health Center Pharmacy
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1679680235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1013907062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27650 FERRY RD",
"address_2": "SUITE 100",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553845",
"telephone_number": "630-225-2663",
"fax_number": "630-225-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27650 FERRY RD",
"address_2": "SUITE 100",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553845",
"telephone_number": "630-225-2663",
"fax_number": "630-225-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DAVID",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036064629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01130143",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.