Individual provider Active NPI

Rachel Chang, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1255837142
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01086039A Issued in IN
Practice address
3401 E Raymond St
Indianapolis, IN 46203-4744
Phone
(317) 957-2100
Fax
(317) 957-2120
NPI assigned
Apr 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01086039A IN Primary

Addresses

Primary practice location

3401 E Raymond St
Indianapolis, IN 46203-4744

Mailing address

3403 E Raymond St
Indianapolis, IN 46203-4744
Phone (317) 957-2000

Other identifiers 1

IdentifierTypeStateIssuer
300015793MedicaidIN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210820002971 IN Practitioner - Family Practice 7012264351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Healthnet Triage OB/GYN Services
Indianapolis, IN 46202-1239
Phone (317) 962-8909

2855 N Keystone Ave
Suite 120
Indianapolis, IN 46218-2790

3403 E Raymond St
Indianapolis, IN 46203-4744

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnet, Inc. CurrentSince Aug 9, 2021 Accepting new patients

Locations

3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1522 W Morris St
Indianapolis, IN 46221
Phone (317) 957-2500

3908 Meadows Dr
Indianapolis, IN 46205
Phone (317) 579-2275

2340 E 10th St
Indianapolis, IN 46201
Phone (317) 633-7360

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

901 Shelby St
Indianapolis, IN 46203
Phone (317) 488-2040

3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000

3401 E Raymond St
#0
Indianapolis, IN 46203

2855 N Keystone Ave
Ste 100
Indianapolis, IN 46218
Phone (317) 920-5760

6020 Crawfordsville Rd
Ste 102
Speedway, IN 46224
Phone (317) 957-2070

Interoperability endpoints

  • Direct secure messaging: rachel.chang@hn.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1255837142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2100",
            "fax_number": "317-957-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "RACHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-01",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01086039A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015793",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.