Donny Li-Fan Chang, M.D., PH.D.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Leominster, MA
NPI 1114188265 · NPPES record last updated Dec 13, 2018
Key facts
- NPI
- 1114188265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 254814 (MA)
- Practice address
- 225 New Lancaster Road
Leominster, MA 01453-4958 - Phone
- (508) 425-5880
- Fax
- (978) 466-3395
- NPI assigned
- Jun 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Boston University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emerson Practice Associates, Inc
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020
133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159
21 Main St
Maynard, MA 01754-2505
Phone (973) 494-6663
Hospital & facility affiliations
- Emerson Hospital -
- Umass Memorial Healthalliance Hospitals
- Heywood Hospital -
- Brigham and Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130726000267 | MA | Practitioner - Endocrinology |
2264673607 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254814 | MA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates, Inc. | Current |
Accepting new patients |
Locations
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
21 Main St
Maynard, MA 01754
Phone (973) 494-6663
Interoperability endpoints
- chang.donny.epa@direct.partners.masshiway.net
- donny.chang.npi1114188265.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 254814 | MA | Yes |
Addresses
Primary practice location
225 New Lancaster Road
Leominster, MA 01453-4958
Mailing address
5 Neponset St FL Street12
Worcester, MA 01606-2714
Phone (508) 425-5880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110093633/A | Medicaid | MA |
Other providers in Leominster, MA
- Central Mass Urology Associates, P.C.
- Central Massachusetts Ambulatory Endoscopy Center LLC
- Central Speech Therapy, LLC
- Jesse C. Chaison
- Felix B Chang Cruz
- Yuric Jui-Shih Chang
- Andrea Chapman
- Jessianne T Charette
- Schumyka Charles
- Mia Michele Charpentier
All providers in Leominster, MA · Endocrinology, Diabetes & Metabolism Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.