Individual provider Active NPI

Dongkun J Chang, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Worth, TX
National Provider Identifier
1023237872
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M3182 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(214) 638-2000
Fax
(214) 237-1864
NPI assigned
Apr 24, 2007
Last updated
Feb 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X M3182 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M3182 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1355 River Bend Dr
Dallas, TX 75247-4915
Phone (214) 638-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000245 TX Practitioner - Pathology 5395846653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-8181

1500 S Dallas Pkwy
Celina, TX 75009-3495
Phone (214) 947-8181

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (972) 361-8058

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 204-1000

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
72.17
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M3182TXMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Physicians Association Hematology CurrentSince Nov 18, 2023 Accepting new patients
Laboratory Physicians Association Hematology CurrentSince Nov 18, 2023 Accepting new patients
Laboratory Physicians Association Hematology Current Accepting new patients
Propath Associates, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2007 Accepting new patients

Locations

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1023237872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "214-638-2000",
            "fax_number": "214-237-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "214-638-2000",
            "fax_number": "214-237-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DONGKUN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "TX",
            "license": "M3182",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M3182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.