Individual provider Active NPI

Darlynn Chaicha Chang, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1104971043
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04336 Issued in TX
Practice address
1000 E 51St St Ste 925
Austin, TX 78751-2232
Phone
(512) 978-9940
Fax
(512) 901-9703
NPI assigned
Jan 23, 2007
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04336 TX Primary

Addresses

Primary practice location

1000 E 51St St Ste 925
Austin, TX 78751-2232

Mailing address

1000 E 51St St Ste 925
Austin, TX 78751-2232
Phone (512) 978-9940

Other names 1

  • Mrs. Darlynn Chaicha Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000502 TX Practitioner - Physician Assistant 7810070190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiemd TX Management LLCGroup PAC ID 3678928462, 20 clinicians

Practice addresses (Care Compare)

7000 N Mopac Expy
Suite 305
Austin, TX 78731-3261
Phone (877) 988-7420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Area Community Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: darlynn.lin.chaicha.1@12704.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1104971043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 51ST ST STE 925",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512232",
            "telephone_number": "512-978-9940",
            "fax_number": "512-901-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 51ST ST STE 925",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512232",
            "telephone_number": "512-978-9940",
            "fax_number": "512-901-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DARLYNN",
        "middle_name": "CHAICHA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLYNN",
            "last_name": "CHAICHA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.