Individual provider Active NPI

Guy Vin Chang, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Washington, DC
National Provider Identifier
1154718955
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD210002191 Issued in DC
Practice address
110 Irving St NW
Washington, DC 20010-3017
Phone
(202) 877-7000
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 11014 SD
Student in an Organized Health Care Education/Training Program 390200000X T0741 TX
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD210002191 DC Primary

Addresses

Primary practice location

110 Irving St NW
Washington, DC 20010-3017

Mailing address

110 Irving St NW
Washington, DC 20010-3017

Other practice location 1

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 328-4973

Other practice location 2

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000

Other practice location 3

1400 W 22nd St
Sioux Falls, SD 57105-1554
Phone (605) 357-1410

Other practice location 4

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180821003995 SD Practitioner - Internal MedicinePractitioner - Hospitalist 7810202660 Reassigns benefits to 3 organizations
I20220829003825 DC Practitioner - Geriatric Medicine 7810202660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Total Elder Care, LLCGroup PAC ID 4981901550, 27 clinicians

Practice addresses (Care Compare)

110 Irving St NW
East Building Room 3114
Washington, DC 20010-3017
Phone (202) 877-0570

Hospital & facility affiliations

  • Medstar Health Vna Home health agency, Washington, DC, CCN 097000
  • Professional Healthcare Home health agency, Washington, DC, CCN 097049
  • Amedisys Home Health Home health agency, Washington, DC, CCN 097024
  • Capital Hospice Hospice, Washington, DC, CCN 091501
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0741TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 10, 2021 Accepting new patients
Monument Health Network, Inc. CurrentSince Jun 10, 2021 Accepting new patients
Sanford Health Network CurrentSince Jan 11, 2020 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jun 10, 2021 Accepting new patients
Sanford Health Network Current Accepting new patients
Monument Health Network, Inc. CurrentSince Jun 10, 2021 Accepting new patients
Medstar Total Elder Care LLC Geriatric Medicine CurrentSince Aug 1, 2022 Accepting new patients
Sanford Health Network CurrentSince Jan 11, 2020 Accepting new patients
Medstar Washington Hospital Center Past Accepting new patients

Locations

110 Irving St NW
Rm 3114
Washington, DC 20010
Phone (202) 877-0570

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

106 Irving St NW
Washington, DC 20010
Phone (202) 877-0275

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: gchang146177@direct.phhs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1154718955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "57105",
            "country_code": "US",
            "telephone_number": "605-328-4973",
            "fax_number": "605-328-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "605-755-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051554",
            "country_code": "US",
            "telephone_number": "605-357-1410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GUY VIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SD",
            "license": "11014",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "T0741",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "DC",
            "license": "MD210002191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.