Individual provider Active NPI

Suzie Heejeong Chang, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Katy, TX
National Provider Identifier
1265636179
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
N9184 Issued in TX
Practice address
23920 Katy Fwy Ste 405
Katy, TX 77494
Phone
(281) 369-5490
Fax
(281) 369-5476
NPI assigned
Jun 13, 2007
Last updated
May 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X N9184 TX Primary

Addresses

Primary practice location

23920 Katy Fwy Ste 405
Katy, TX 77494

Mailing address

23920 Katy Fwy Ste 405
Katy, TX 77494-0805
Phone (281) 369-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 20, 2018 through Apr 20, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1265636179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 405",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940805",
            "telephone_number": "281-369-5490",
            "fax_number": "281-369-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 405",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-369-5490",
            "fax_number": "281-369-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SUZIE",
        "middle_name": "HEEJEONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N9184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.