Organization Active NPI

Richard L. Chang PA

  • Rheumatology Physician
  • Miami, FL
National Provider Identifier
1184925265
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME 59505 Issued in FL
Legal business name
RICHARD L. CHANG PA
Practice address
10820 SW 113TH PL
Miami, FL 33176-3227
Phone
(305) 270-8083
Fax
(305) 271-5223
NPI assigned
Nov 5, 2010
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
S Chang
Title
Manager
Phone
(305) 270-8083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X ME 59505 FL Primary

Addresses

Primary practice location

10820 SW 113TH PL
Miami, FL 33176-3227

Mailing address

10820 SW 113TH PL
Miami, FL 33176-3227
Phone (305) 270-8083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130001401 FL Part B Supplier - Clinic/Group Practice 8921294034 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

10820 SW 113th Pl
Miami, FL 33176
Phone (305) 270-8083

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJIFCD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1184925265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763227",
            "telephone_number": "305-270-8083",
            "fax_number": "305-271-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763227",
            "telephone_number": "305-270-8083",
            "fax_number": "305-271-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. CHANG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-270-8083"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 59505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.