Active NPI
Ping Chang, MD
- Internal Medicine Physician
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2003022690
- Practice address
- 300 1St Capitol Dr
Saint Charles, MO 63301-2844 - Phone
- (314) 317-0600
- Fax
- (314) 317-0606
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2003022690 | MO | |
| Internal Medicine Physician | 207R00000X | 2003022690 | MO | Primary |
Addresses
Primary practice location
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Mailing address
12101 Woodcrest Executive Dr
Suite 210
Saint Louis, MO 63141-5047
Phone (314) 317-0600
Other practice location 1
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 705-1272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209155209 | Medicaid | MO | |
| 1124091194 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031103000203 | MO | Practitioner - Hospitalist | 1355253006 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Physician Services PC
Practice addresses (Care Compare)
10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (800) 501-9855
11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-4450
Hospital & facility affiliations
- BJC Hospice
- Progress West Hospital
- Barnes-Jewish St Peters Hospital
- Christian Hospital Northeast
- Barnes Jewish Hospital
- Missouri Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Barnes Jewish St Peters Hospital Inc | Past | Accepting new patients | |
| Progress West Healthcare Center | Past | Accepting new patients | |
| Christian Hospital Northeast- Northwest | Past | Accepting new patients |
Locations
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, MO
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine, MO
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
- General Acute Care Hospital
- O Fallon, MO
- NPI 1508938044
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Hospital
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1124091194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 WOODCREST EXECUTIVE DR",
"address_2": "SUITE 210",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415047",
"telephone_number": "314-317-0600",
"fax_number": "314-317-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 1ST CAPITOL DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012844",
"telephone_number": "314-317-0600",
"fax_number": "314-317-0606"
}
],
"practiceLocations": [
{
"address_1": "1101 W Liberty St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636401921",
"country_code": "US",
"telephone_number": "573-705-1272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "PING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2003022690",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2003022690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209155209",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124091194",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1101 W Liberty St",
"city": "Farmington",
"state": "MO",
"country_code": "US",
"postal_code": "636401921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.