Individual provider Active NPI

Andrew S Chang, MD

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1093058091
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101261162 Issued in VA
Practice address
2335 Seminole LN Ste 200
Charlottesville, VA 22901-8303
Phone
(434) 975-7700
Fax
(434) 975-7724
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0101261162 VA Primary

Addresses

Primary practice location

2335 Seminole LN Ste 200
Charlottesville, VA 22901-8303

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

77 Market St Ste E
Palmyra, VA 22963-4687
Phone (434) 589-9030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address achang309954@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20161006000426 VA Practitioner - Family Practice 3577865377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

250 Merchant Walk SQ
Suite 1103
Charlottesville, VA 22902-6511
Phone (434) 328-4900

575 Industrial Dr
Louisa, VA 23093-4146
Phone (540) 967-2011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101261162VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Sep 8, 2016 Accepting new patients
Uva Community Health Medical Group, LLC Family Medicine PastSince Sep 8, 2016 Accepting new patients

Locations

2335 Seminole Ln
Ste 200
Charlottesville, VA 22901
Phone (434) 975-7700

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

575 Industrial Dr
Louisa, VA 23093
Phone (540) 967-2011

77 Market St
Ste E
Palmyra, VA 22963
Phone (434) 589-9030

Interoperability endpoints

  • Direct secure messaging: achang309954@direct.healthsystem.virginia.edu

Organizations & group practices 2

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 6

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1093058091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 SEMINOLE LN STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018303",
            "telephone_number": "434-975-7700",
            "fax_number": "434-975-7724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Market St Ste E",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "229634687",
            "country_code": "US",
            "telephone_number": "434-589-9030",
            "fax_number": "434-589-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101261162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achang309954@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2335 Seminole Ln Ste 200",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229018303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.