Shu-Ho Chang, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

194092 Issued in NY

Practice address

1000 Montauk Hwy
Good Samaritan Hospital
West Islip, NY 11795-4927

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Diagnostic Radiology

Education

Albert Einstein College of Medicine of Yeshiva University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

St Francis Cardiac Prevention Services PCGroup PAC ID 4183515836, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
• St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
• St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
• St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
• Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (9 of 13)

Locations (25 of 36)

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

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.

• CHS Physician Partners, PC

  • Interventional Cardiology Physician
  • Fresh Meadows, NY
  • NPI 1407089345

  NY

  Medicare reassignment Care Compare group NPD
• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783

  Diagnostic Radiology, NY

  Medicare reassignment Care Compare group NPD
• St. Francis Cardiac Prevention Services PC

  • Diagnostic Radiology Physician
  • Melville, NY
  • NPI 1376952804

  Diagnostic Radiology, NY

  Medicare reassignment Care Compare group NPD
• CHS Physician Partners, P.C

  • Cardiovascular Disease Physician
  • Roslyn, NY
  • NPI 1164585725
  NPD
• CHS Physician Partners, PC

  • Family Medicine Physician
  • Bellmore, NY
  • NPI 1720334527
  NPD
• CHS Physician Partners, PC

  • Cardiovascular Disease Physician
  • Massapequa, NY
  • NPI 1992048342
  NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)
• Radiology Consulting of Long Island PLLC

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1568402410

  Diagnostic Radiology

  NPD (past)
• South Nassau Radiology PC

  • Diagnostic Radiology Physician
  • Oceanside, NY
  • NPI 1982694543

  Diagnostic Radiology

  NPD (past)

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

• Good Samaritan Hospital Medical Center

  • General Acute Care Hospital
  • West Islip, NY
  • NPI 1902865355

  Hospital

  Care Compare affiliation
• St Charles Hospital Corp

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1164481529

  Hospital

  Care Compare affiliation
• St. Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
  • NPI 1982663423

  Hospital

  Care Compare affiliation
• St. Francis Hospital

  • General Acute Care Hospital
  • Roslyn, NY
  • NPI 1043279565

  Hospital

  Care Compare affiliation
• Wsnchs North, Inc.

  • General Acute Care Hospital
  • Bethpage, NY
  • NPI 1013998426

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1194896589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071814",
            "telephone_number": "914-666-2220",
            "fax_number": "914-666-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "address_2": "GOOD SAMARITAN HOSPITAL",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SHU-HO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "194092",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "194092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa C Cervini, LCSW
• Louis C Cervini, LCSW
• Gina Cespedes, DPM
• Suzanne Giannetta Cestare, PT
• Jaimeson Champion, LCSW
• Emily Chen-de Jesus
• Ching Wei Russell Chen
• Alla Chernenko, DO
• Lauren Cherubini, RPH
• Lisa Marie Chianese

• All providers in West Islip, NY
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.