Individual provider Active NPI

Brian Lee Chang, MD

  • General Practice Physician
  • Washington, DC
National Provider Identifier
1063918902
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101278770 Issued in VA
Practice address
3800 Reservoir Rd NW Dept of
Washington, DC 20007-2113
Phone
(202) 444-7563
Fax
(202) 444-7204
NPI assigned
Mar 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 0101278770 VA Primary

Addresses

Primary practice location

3800 Reservoir Rd NW Dept of
Washington, DC 20007-2113

Mailing address

3800 Reservoir Rd NW Dept of
Washington, DC 20007-2113
Phone (202) 444-7563

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
I20230922000536 VA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Practice 9032563200 Reassigns benefits to 2 organizations
I20240801000181 DC Practitioner - Plastic and Reconstructive Surgery 9032563200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affiliates in Plastic Surgery LLCGroup PAC ID 2365664117, 11 clinicians

Practice addresses (Care Compare)

2200 Opitz Blvd
Suite 250
Woodbridge, VA 22191-3351
Phone (703) 832-4000

2296 Opitz Blvd
Suite 280
Woodbridge, VA 22191-3353

4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1306
Phone (703) 888-2034

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
91.86 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy11
Melanoma (skin cancer) excision40
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101278770VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Plastic Surgery, LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Signify Health, LLC Single Specialty CurrentSince Sep 11, 2023 Accepting new patients
Affiliates in Plastic Surgery, LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

15245 Shady Grove Rd
Ste 155
Rockville, MD 20850
Phone (240) 912-4708

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4660 Kenmore Ave
Ste 220
Alexandria, VA 22304
Phone (703) 832-4000

6801 Whittier Ave
Ste 301
McLean, VA 22101
Phone (703) 505-0444

1800 Town Center Dr
Ste 312
Reston, VA 20190
Phone (703) 796-0370

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

2200 Opitz Blvd
Ste 250
Woodbridge, VA 22191
Phone (703) 494-5858

Organizations & group practices 3

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 7

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": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1063918902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW DEPT OF",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-7563",
            "fax_number": "202-444-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW DEPT OF",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-7563",
            "fax_number": "202-444-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101278770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.