Active NPI
Kenneth Chang, MD
- Internal Medicine Physician
- Glen Mills, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD062908L
- Practice address
- 100 Maris Grove Way
Glen Mills, PA 19342-1282 - Phone
- (610) 387-4520
- Fax
- (610) 387-4526
- NPI assigned
- Jun 14, 2006
- Last updated
- Feb 25, 2026
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD062908L | PA | Primary |
Addresses
Primary practice location
100 Maris Grove Way
Glen Mills, PA 19342-1282
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (610) 387-4520
Other practice location 1
30 Medical Center Blvd
Suite 202
Chester, PA 19013-3955
Phone (610) 447-8840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Internal Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 Ann's Choice Way
Warminster, PA 18974-3527
Phone (215) 443-3850
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Health Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| Erickson Health Medical Group of Pennsylvania, PC | Current | Accepting new patients | |
| Kenneth R Lander M.D. P.C. | Internal Medicine | Past | Accepting new patients |
| Jefferson University Physicians | Internal Medicine | Past | Accepting new patients |
Locations
5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379
100 Maris Grove Way
Glen Mills, PA 19342
Phone (610) 387-4520
10000 Anns Choice Way
Warminster, PA 18974
Phone (215) 443-3801
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Continuing Care at Maris Grove | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 9, 2024 Mar 25, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Continuing Care at Maris Grove
- Skilled Nursing Facility
- Glen Mills, PA
- NPI 1053566455
Adp of the SNF, Operational/Managerial Control
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Warminster, PA
- NPI 1114947991
-
- Durable Medical Equipment & Medical Supplies
- Warminster, PA
- NPI 1730335175
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newtown Square, PA
- NPI 1497796544
-
dba Continuing Care at Maris Grove
- Skilled Nursing Facility
- Glen Mills, PA
- NPI 1053566455
Nursing home
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
dba Asana Hospice
- Community Based Hospice Care Agency
- Kennett Square, PA
- NPI 1780053611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1023051406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "610-387-4520",
"fax_number": "610-387-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARIS GROVE WAY",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421282",
"telephone_number": "610-387-4520",
"fax_number": "610-387-4526"
}
],
"practiceLocations": [
{
"address_1": "30 Medical Center Blvd",
"address_2": "SUITE 202",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "PA",
"postal_code": "190133955",
"country_code": "US",
"telephone_number": "610-447-8840",
"fax_number": "610-447-8895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD062908L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Mills, PA
- Patrick Carter, DPT
- Geraldine Celestin
- Eileen Helen Cerami, R.PH.
- Cerevia Behavioral Health Group LLC
- Gayatri Chander
- Kathleen A Charles, LCSW
- Michele Chen
- Francien Chenoweth, PSY.D
- Children's Hospital of Philadelphia (Urgent Care Brandywine Valley)
- Children's Hospital of Philadelphia (Care Network Chadds Ford)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.