Active NPI
Hyun Sik Chang, M.D.
- Specialist
- Dearborn, MI
National Provider Identifier
1306880471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- HC035471
- Practice address
- 3815 Pelham, Suite 5
Dearborn, MI 48124-3852 - Phone
- (313) 565-6999
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | HC035471 | MI | Primary |
Addresses
Primary practice location
3815 Pelham, Suite 5
Dearborn, MI 48124-3852
Mailing address
3815 Pelham, Suite 5
Dearborn, MI 48124-3852
Phone (313) 565-6999
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125189 | Other | MI | CARE CHOICE |
| 0821008 | Other | MI | BCBSM |
| 0208210081 | Other | MI | BLUE CARE NETWORK |
| A77116 | Other | MI | HEALTH ALLIANCE PLAN |
| 100000006598 | Other | MI | MEDICARE PLUS BLUE |
| 2713276 | Medicaid | MI | |
| 306338 | Other | MI | CIGNA |
| 0208210081 | Other | MI | BLUE CROSS BLUE SHIELD |
| B6031 | Other | MI | MCARE |
| 000000001968 | Other | MI | CAPE HEALTH |
| 5441259 | Other | MI | AETNA |
| 78977 | Other | MI | PHCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC035471 | MI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306880471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 PELHAM, SUITE 5",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243852",
"telephone_number": "313-565-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 PELHAM, SUITE 5",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243852",
"telephone_number": "313-565-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "HYUN",
"middle_name": "SIK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "HC035471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICE",
"identifier": "125189",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0821008",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "0208210081",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "A77116",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PLUS BLUE",
"identifier": "100000006598",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2713276",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "306338",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0208210081",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "B6031",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH",
"identifier": "000000001968",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5441259",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "78977",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.