Individual provider Active NPI

Lawrence K. Chang, M.D.

  • Dermatology Physician
  • Virginia Beach, VA
National Provider Identifier
1265548929
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101229875 Issued in VA
Practice address
2117 General Booth Blvd
Virginia Beach, VA 23454-5803
Phone
(757) 689-8783
Fax
(757) 689-8783
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 0101229875 VA
Dermatology Physician 207N00000X 0101229875 VA Primary

Addresses

Primary practice location

2117 General Booth Blvd
Virginia Beach, VA 23454-5803

Mailing address

2117 General Booth Blvd
Virginia Beach, VA 23454-5803
Phone (757) 689-8183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20091124000631 VA Practitioner - Dermatology 0941219356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Colorado School of Medicine, Denver, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chang Skin Surgery Center LLCGroup PAC ID 4385179597, 2 clinicians

Practice addresses (Care Compare)

2117 General Booth Blvd
Virginia Beach, VA 23454-5803
Phone (757) 689-8183

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
78.82
Improvement activities
40
Cost
80.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision287
Removal of tissue57
Removal of skin lesions940
Removal of skin cancer1341
Removal of nail tissue1-10
Removal or shaving of skin growth15
Skin biopsy756

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pariser Dermatology Specialists LTD Dermatology CurrentSince Jul 1, 2001 Accepting new patients
Chang Skin Surgery Center LLC Dermatology CurrentSince Nov 1, 2024 Accepting new patients

Locations

11842 Rock Landing Dr
Ste 120
Newport News, VA 23606
Phone (757) 595-8816

6160 Kempsville Cir
Ste 200A
Norfolk, VA 23502

2117 General Booth Blvd
Virginia Beach, VA 23454
Phone (757) 430-8739

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1265548929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 GENERAL BOOTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545803",
            "telephone_number": "757-689-8183",
            "fax_number": "757-689-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 GENERAL BOOTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545803",
            "telephone_number": "757-689-8783",
            "fax_number": "757-689-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LAWRENCE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101229875",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101229875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.