Active NPI
Deidre Chang Anastas, MD
- Pediatric Cardiology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 314936
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-0001 - Phone
- (585) 275-2820
- NPI assigned
- Apr 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Interventional Cardiology Physician
- Tamuning, GU
- NPI 1013278936
GU
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Cardiology Consultants LLC
Practice addresses (Care Compare)
633 Gov Carlos G Camacho Rd
Suite 202
Tamuning, GU 96913-3195
Phone (671) 649-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250508000785 | GU | Practitioner - Cardiovascular Disease (Cardiology) | 3779000286 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 314936 | NY | MD | Pediatric Cardiology Physician |
| 135910 | FL | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Memorial Hospital | Current | Accepting new patients | |
| Pacific Cardiology Consultants LLC | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients |
Locations
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
633 Gov Carlos G Camacho Rd
Ste 202
Tamuning, GU 96913
Phone (671) 646-0443
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 135910 | FL | |
| Pediatric Cardiology Physician | 2080P0202X | 314936 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
601 Elmwood Avenue Box 631
Rochester, NY 14642-0001
Phone (585) 275-2820
Other names 1
NPPES NPI Registry- Deidre Reiling Chang
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2022.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1265827596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVENUE BOX 631",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANASTAS",
"first_name": "DEIDRE",
"middle_name": "CHANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-02",
"last_updated": "2022-04-11",
"certification_date": "2022-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "135910",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "314936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEIDRE",
"last_name": "CHANG",
"middle_name": "REILING",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.