Individual provider Active NPI

Edward T Chang, MD, MS, MBA

  • Otolaryngology Physician
  • Lexington, KY
National Provider Identifier
1144581059
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
60296 Issued in KY
Practice address
1221 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-4371
Fax
(859) 258-4326
NPI assigned
Jun 6, 2012
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD17315 HI
Otolaryngology Physician 207Y00000X 79106 GA
Otolaryngology Physician 207Y00000X 60296 KY Primary

Addresses

Primary practice location

1221 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

1720 Nicholasville Rd Ste 500
Lexington, KY 40503-1487
Phone (859) 278-1114

Other practice location 2

1012 Ival James Blvd Ste B
Richmond, KY 40475-8278
Phone (859) 624-3615

Other practice location 3

150 Mount Vernon Dr Ste 202
Georgetown, KY 40324-1526
Phone (859) 278-1114

Other practice location 4

230 Fountain Ct Ste 230
Lexington, KY 40509-1897
Phone (859) 977-5335

Other identifiers 1

IdentifierTypeStateIssuer
7101025060MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241223001327 KY Practitioner - Otolaryngology 0941737456 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
79106GAMDOtolaryngology Physician
MD17315HIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Nov 25, 2024 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Nov 25, 2024 Accepting new patients
Baptist Health Medical Group Inc Otolaryngology CurrentSince Nov 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

2411 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 706-5265

1000 Breckenridge St
Ste 303
Owensboro, KY 42303
Phone (270) 685-2392

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

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, 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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1144581059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4371",
            "fax_number": "859-258-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Nicholasville Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031487",
            "country_code": "US",
            "telephone_number": "859-278-1114",
            "fax_number": "859-277-0541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 Ival James Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404758278",
            "country_code": "US",
            "telephone_number": "859-624-3615",
            "fax_number": "859-624-2103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Mount Vernon Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403241526",
            "country_code": "US",
            "telephone_number": "859-278-1114",
            "fax_number": "859-277-0541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Fountain Ct Ste 230",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091897",
            "country_code": "US",
            "telephone_number": "859-977-5335",
            "fax_number": "859-977-5340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EDWARD",
        "middle_name": "T",
        "credential": "MD, MS, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "HI",
            "license": "MD17315",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "79106",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "60296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101025060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.