Organization Active NPI

Commonwealth Internal Medicine, PC

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1225076946
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMMONWEALTH INTERNAL MEDICINE, PC
Practice address
611 Jefferson Davis Hwy
Suite 201
Fredericksburg, VA 22401-8402
Phone
(540) 371-4141
Fax
(540) 371-1990
NPI assigned
Jun 3, 2006
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Norman Chang, M.D.NPI 1629064605
Title
Physician
Phone
(540) 371-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

611 Jefferson Davis Hwy
Suite 201
Fredericksburg, VA 22401-8402

Mailing address

611 Jefferson Davis Hwy
Suite 201
Fredericksburg, VA 22401-8402
Phone (540) 371-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000358 VA Part B Supplier - Clinic/Group Practice 3870492457 Receives reassigned benefits from 3 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

10401 Spotsylvania Ave
Ste 201
Fredericksburg, VA 22408
Phone (540) 741-3770

2216 Princess Anne St
Ste 204
Fredericksburg, VA 22401
Phone (540) 361-7390

611 Emancipation Hwy
Ste 201
Fredericksburg, VA 22401
Phone (540) 361-7390

Practitioners & affiliated clinicians

Practitioners 3

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1225076946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018402",
            "telephone_number": "540-371-4141",
            "fax_number": "540-371-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018402",
            "telephone_number": "540-371-4141",
            "fax_number": "540-371-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-371-4141",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.