Active NPI
Wellington H. Chang, M.D.
- Ophthalmology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101248654
- Practice address
- 10721 Main St
Ste 3200
Fairfax, VA 22030-6906 - Phone
- (703) 951-3930
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD037620 | DC | |
| Ophthalmology Physician | 207W00000X | D0071577 | MD | |
| Ophthalmology Physician | 207W00000X | 0101248654 | VA | Primary |
Addresses
Primary practice location
10721 Main St
Ste 3200
Fairfax, VA 22030-6906
Mailing address
10721 Main St
Ste 3200
Fairfax, VA 22030-6906
Phone (703) 951-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Tufts University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10721 Main St
Suite 1500
Fairfax, VA 22030-6910
Phone (703) 951-3930
Hospital & facility affiliations
- Reston Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037620 | DC | MD | Ophthalmology Physician |
| D0071577 | MD | MD | Ophthalmology Physician |
| 0101248654 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Eye Physicians, PC | Ophthalmology | Current | Accepting new patients |
Locations
10721 Main St
Ste 1500
Fairfax, VA 22030
Phone (703) 373-7113
10721 Main St
Ste 3200
Fairfax, VA 22030
Phone (703) 591-7770
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.
-
- Ophthalmology Physician
- Washington, DC
- NPI 1437175684
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1174780431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10721 MAIN ST",
"address_2": "STE 3200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306906",
"telephone_number": "703-951-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 MAIN ST",
"address_2": "STE 3200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306906",
"telephone_number": "703-951-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "WELLINGTON",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DC",
"license": "MD037620",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0071577",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101248654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.