Individual provider Active NPI

Melvin K. Chang, M.D.

  • Internal Medicine Physician
  • Kaneohe, HI
National Provider Identifier
1114092541
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-5411 Issued in HI
Practice address
46-056 Kamehameha Hwy
Suite 221
Kaneohe, HI 96744-3755
Phone
(808) 233-6200
Fax
(808) 233-6255
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-5411 HI Primary

Addresses

Primary practice location

46-056 Kamehameha Hwy
Suite 221
Kaneohe, HI 96744-3755

Mailing address

46-056 Kamehameha Hwy
Suite 221
Kaneohe, HI 96744-3755
Phone (808) 233-6200

Other identifiers 3

IdentifierTypeStateIssuer
0000022467OtherHIHMSA
020338MedicaidHI
4820444OtherHIUHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1114092541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "address_2": "SUITE 221",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443755",
            "telephone_number": "808-233-6200",
            "fax_number": "808-233-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "address_2": "SUITE 221",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443755",
            "telephone_number": "808-233-6200",
            "fax_number": "808-233-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MELVIN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-5411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000022467",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020338",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "4820444",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.