Chung Che Chang, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Orlando, FL
NPI 1194773663 · NPPES record last updated Jun 23, 2011
Key facts
- NPI
- 1194773663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- ME108622 (FL)
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 303-6611
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Florida Pathology Associates PA
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 363-6611
Hospital & facility affiliations
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.18 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110606000260 | FL | Practitioner - Pathology | 5597716951 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40255 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| L8303 | TX | MD | Hematology (Pathology) Physician |
| 41115 | WI | MD | Hematology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Pathology Associates PA | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Methodist Pathology Associates PLLC | Hematology | Past |
Accepting new patients |
| Methodist Pathology Associates PLLC | Hematology | Past |
Accepting new patients |
Locations
201 N Park Ave
Apopka, FL 32703
Phone (407) 889-1000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | L8303 | TX | |
| Hematology (Pathology) Physician | 207ZH0000X | 41115 | WI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | L8303 | TX | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 41115 | WI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME108622 | FL | Yes |
| Hematology (Pathology) Physician | 207ZH0000X | ME108622 | FL |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
PO Box 140987
Orlando, FL 32814-0987
Phone (407) 422-9831
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160109803 | Medicaid | TX | |
| 160109802 | Medicaid | TX | |
| 003558900 | Medicaid | FL | |
| 14CW6 | Other | FL | BC BS OF FLORIDA |
Other providers in Orlando, FL
- Satish Chandolu
- Tushar Chandra
- Balaji Chandrasekar
- Elizabeth Erin Chaney
- Eugene Rutledge Chaney IV
- Dawn Shorey Chang
- Jamie Chiapei Chang
- Patrick David Chang
- Steven Ki Wan Jun Chang
- Su C Chang
All providers in Orlando, FL · Anatomic Pathology & Clinical Pathology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.