NPIMap

Individual provider Active NPI

Steve I Chang, MD

  • Internal Medicine Physician
  • New Berlin, WI
National Provider Identifier
1295897569
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38648 Issued in WI
Practice address
12555 W National Ave Ste 200
New Berlin, WI 53151
Phone
(262) 754-2555
Fax
(262) 754-2552
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38648 WI Primary

Addresses

Primary practice location

12555 W National Ave Ste 200
New Berlin, WI 53151

Mailing address

4555 W Schroeder Dr
#170
Milwaukee, WI 53223-1475
Phone (414) 365-3210

Other identifiers 1

IdentifierTypeStateIssuer
32383100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061218000005 WI Practitioner - Internal Medicine 1557360781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12555 W National Ave
New Berlin, WI 53151-4061

Hospital & facility affiliations

  • Allay Hospice Hospice, Brookfield, WI, CCN 521583
  • Brighton Hospice Wisconsin Hospice, Brookfield, WI, CCN 521603
  • Castle Hospice Hospice, New Berlin, WI, CCN 521609
  • Aurora at Home Hospice, Wauwatosa, WI, CCN 521528
  • Moments Hospice of Milwaukee Hospice, Mount Pleasant, WI, CCN 521605
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Complete Care at Hales Corners Nursing home, Hales Corners, WI, CCN 525596
  • Clement Manor Health Care Center Nursing home, Greenfield, WI, CCN 525327
  • Muskego Health and Rehabilitation Center Nursing home, Muskego, WI, CCN 525686
  • Complete Care at Southpointe Nursing home, Greenfield, WI, CCN 525604

Merit-based Incentive Payment System (MIPS)

Final score
84.47 of 100Reported as individual
Quality
77.19
Promoting interoperability
93
Improvement activities
40
Cost
52.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38648WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internists LTD Internal Medicine CurrentSince Oct 6, 2006 Accepting new patients

Locations

4555 W Schroeder Dr
Ste 170
Milwaukee, WI 53223

S77W18690 Janesville Rd
Muskego, WI 53150
Phone (262) 679-0246

12555 W National Ave
Ste 200
New Berlin, WI 53151
Phone (262) 754-2555

12555 W National Ave
New Berlin, WI 53151
Phone (262) 786-3900

12555 W National Ave
Ste 2
New Berlin, WI 53151
Phone (262) 754-2555

Interoperability endpoints

  • Direct secure messaging: steve.chang.1@2226.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2226/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clement Manor Health Care CenterGreenfield, WI, CCN 525327 Skilled nursing facility Contracted Managing Employee Sep 1, 2021
Muskego Health and Rehabilitation CenterMuskego, WI, CCN 525686 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2022
Jun 1, 2022
Complete Care at Hales CornersHales Corners, WI, CCN 525596 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 28, 2025
May 28, 2025
Allay Home & HospiceBrookfield, WI, CCN 521583 Hospice Contracted Managing Employee Jun 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 11

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1295897569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 W SCHROEDER DR",
            "address_2": "#170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231475",
            "telephone_number": "414-365-3210",
            "fax_number": "414-365-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W NATIONAL AVE STE 200",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "262-754-2555",
            "fax_number": "262-754-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "STEVE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "38648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32383100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.