Active NPI
Jaime Chang, MD
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 218261
- Practice address
- 15 Parkman St
Wang Ambulatory Care Unit, Suite 108
Boston, MA 02114-3117 - Phone
- (617) 726-2707
- NPI assigned
- Oct 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 228468-1 | NY | |
| Internal Medicine Physician | 207R00000X | 218261 | MA | Primary |
Addresses
Primary practice location
15 Parkman St
Wang Ambulatory Care Unit, Suite 108
Boston, MA 02114-3117
Mailing address
50 Staniford St FL 7
Room 761C
Boston, MA 02114-2538
Phone (617) 726-9069
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-07781 | Other | MA | UNITED-ACD |
| 2014921 | Medicaid | MA | |
| 6000156 | Other | MA | HPHC-ACD |
| 218261 | Other | MA | TUFTS |
| 3279544 | Other | MA | AETNA |
| 4046326 | Other | MA | CIGNA PAL |
| J26498 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Internal Medicine
- Education
- New York University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
385 Broadway
Revere, MA 02151-3033
Phone (781) 485-1000
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Massachusetts General Hospital
- Brigham and Women'S Hospital
- Newton-Wellesley Hospital
- North Shore Medical Center -
- Spaulding Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228468-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients |
Locations
15 Parkman St
#108
Boston, MA 02114
Phone (617) 726-2707
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
50 Staniford St
Fl 7
Boston, MA 02114
Phone (617) 726-3934
15 Parkman St
Ste 108
Boston, MA 02114
Phone (617) 726-2707
Interoperability endpoints
- chang.jaime.mgh@direct.partners.masshiway.net
Organizations & group practices 3
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205825197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STANIFORD ST FL 7",
"address_2": "ROOM 761C",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142538",
"telephone_number": "617-726-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"address_2": "WANG AMBULATORY CARE UNIT, SUITE 108",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143117",
"telephone_number": "617-726-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JAIME",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "228468-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "218261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED-ACD",
"identifier": "04-07781",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2014921",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC-ACD",
"identifier": "6000156",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "218261",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3279544",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL",
"identifier": "4046326",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J26498",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.