Individual provider Active NPI

Kevin Chiawen Chang, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1144437914
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12816 Issued in NV
Practice address
2950 S Maryland Parkway
Las Vegas, NV 89109
Phone
(702) 240-1215
Fax
(702) 243-7531
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X A87454 CA
Diagnostic Radiology Physician 2085R0202X 12816 NV Primary

Addresses

Primary practice location

2950 S Maryland Parkway
Las Vegas, NV 89109

Mailing address

PO Box 36900
Las Vegas, NV 89133-6900
Phone (702) 240-1215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20080811000180 NV Practitioner - Diagnostic Radiology 0042310336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sdmi, LLCGroup PAC ID 7911897053, 36 clinicians

Practice addresses (Care Compare)

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone (702) 732-6000

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
82.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87454CAMDDiagnostic Neuroimaging (Radiology) Physician
12816NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sdmi, LLC Diagnostic Radiology CurrentSince Aug 25, 2008 Accepting new patients
Hoffman, MD, Associated Pathologists Chartered Past Accepting new patients

Locations

4 Sunset Way
Ste D
Henderson, NV 89014

2850 Siena Heights Dr
Henderson, NV 89052

800 N Gibson Rd
Ste 110
Henderson, NV 89011

800 Shadow Ln
Las Vegas, NV 89106
Phone (702) 366-9700

31 N Nellis Blvd
Las Vegas, NV 89110

8945 Lindell Rd
Las Vegas, NV 89139

2767 N Tenaya Way
Las Vegas, NV 89128

2950 S Maryland Pkwy
Las Vegas, NV 89109

10040 Alta Dr
Ste 170
Las Vegas, NV 89145
Phone (701) 732-6000

9070 W Post Rd
Las Vegas, NV 89148

6925 N Durango Dr
Las Vegas, NV 89149

1650 W Craig Rd
Ste 100
North Las Vegas, NV 89032

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1144437914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36900",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336900",
            "telephone_number": "702-240-1215",
            "fax_number": "702-243-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S MARYLAND PARKWAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-240-1215",
            "fax_number": "702-243-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KEVIN",
        "middle_name": "CHIAWEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "A87454",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "12816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.