Individual provider Active NPI

Eric Su-Ming Chang, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Stafford, VA
National Provider Identifier
1043639487
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
0101272436 Issued in VA
Practice address
955 E Wonder Rd
Stafford, VA 22554-7798
Phone
(540) 741-7893
Fax
(540) 741-9778
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 0101272436 VA Primary

Addresses

Primary practice location

955 E Wonder Rd
Stafford, VA 22554-7798

Mailing address

955 Wonder Rd
Stafford, VA 22554-7798
Phone (540) 741-7893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210920001740 VA Practitioner - Obstetrics/Gynecology 8921227844 Reassigns benefits to 1 organization
I20220711000041 DC Practitioner - Obstetrics/Gynecology 8921227844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

955 -D Wonder Rd
Stafford, VA 22554-7798
Phone (540) 741-7892

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101272436VAMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Physicians Edge LLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Aug 30, 2022 Accepting new patients
The Physician and Midwife Collaborative Practice Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 15, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 15, 2024 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Aug 30, 2022 Accepting new patients
Nova Access Surgery PLLC Past Accepting new patients

Locations

9715 Medical Center Dr
Ste 530
Rockville, MD 20850
Phone (240) 464-6642

10750 Columbia Pike
Ste 700
Silver Spring, MD 20901
Phone (301) 681-2618

2616 Sherwood Hall Ln
Ste 208
Alexandria, VA 22306
Phone (703) 780-6900

4660 Kenmore Ave
Ste 902
Alexandria, VA 22304
Phone (703) 370-4300

5901 Kingstowne Village Pkwy
Ste 200
Alexandria, VA 22315
Phone (703) 370-4300

3803 Fairfax Dr
Ste 500
Arlington, VA 22203
Phone (703) 842-0602

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

955 Wonder Rd
Ste E
Stafford, VA 22554
Phone (540) 741-7892

125 Hospital Center Blvd
Ste 221
Stafford, VA 22554
Phone (540) 741-5501

955 Wonder Rd
Stafford, VA 22554
Phone (540) 741-7892

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23133/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1043639487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WONDER RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547798",
            "telephone_number": "540-741-7893",
            "fax_number": "540-741-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E WONDER RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547798",
            "telephone_number": "540-741-7893",
            "fax_number": "540-741-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERIC",
        "middle_name": "SU-MING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "VA",
            "license": "0101272436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.