Active NPI
Jessica Carolina Chang, M.D.
- Pediatric Critical Care Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD047169
- Practice address
- 3800 Reservoir Road NW
Washington, DC 20007 - Phone
- (202) 444-2468
- Fax
- (202) 444-2613
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101273963 | VA | |
| Pediatrics Physician | 208000000X | MD047169 | DC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 0101273963 | VA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD047169 | DC | Primary |
Addresses
Primary practice location
3800 Reservoir Road NW
Washington, DC 20007
Mailing address
3800 Reservoir Road NW
Washington, DC 20007-2113
Phone (202) 444-2468
Other practice location 1
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 343-1432
Other practice location 2
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 343-1432
Other practice location 3
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD047169 | DC | MD | Pediatric Critical Care Medicine Physician |
| 0101273963 | VA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Inova Health Care Services | Pediatrics | Current | Accepting new patients |
| Medstar - Georgetown Medical Center, Inc. | Past | Accepting new patients |
Locations
3800 Reservoir Rd NW
Fl 5
Washington, DC 20007
Phone (202) 444-0086
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Organizations & group practices 8
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.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Pediatrics
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
-
- Psychiatry Physician
- Washington, DC
- NPI 1316949654
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- General Acute Care Hospital
- Washington, DC
- NPI 1427145176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1255776191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 RESERVOIR ROAD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-2468",
"fax_number": "202-444-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR ROAD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20007",
"telephone_number": "202-444-2468",
"fax_number": "202-444-2613"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-343-1432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-343-1432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "JESSICA",
"middle_name": "CAROLINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101273963",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD047169",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "VA",
"license": "0101273963",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "DC",
"license": "MD047169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.