Individual provider Active NPI

Wellington H. Chang, M.D.

  • Ophthalmology Physician
  • Fairfax, VA
National Provider Identifier
1174780431
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101248654 Issued in VA
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

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000344 DC Practitioner - Ophthalmology 9335310283 Reassigns benefits to 2 organizations

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 Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037620DCMDOphthalmology Physician
D0071577MDMDOphthalmology Physician
0101248654VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Eye Physicians, PC Ophthalmology CurrentSince Jun 24, 2013 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.