NPIMap

Individual provider Active NPI

Michael C. Chiang, M.D.

  • Internal Medicine Physician
  • Lewisville, TX
National Provider Identifier
1306888342
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3127 Issued in TX
Practice address
860 Hebron Pkwy
Suite #302
Lewisville, TX 75057-5151
Phone
(972) 859-0388
NPI assigned
Jun 12, 2006
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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 K3127 TX Primary

Addresses

Primary practice location

860 Hebron Pkwy
Suite #302
Lewisville, TX 75057-5151

Mailing address

4424 Fairway Dr
Carrollton, TX 75010-1142
Phone (214) 395-8858

Other identifiers 2

IdentifierTypeStateIssuer
113256515MedicaidTX
113256501MedicaidTX

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

LicenseStateTypeSpecialty
K3127TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Consolidated Hospital District Past Accepting new patients
Athens Emergency Medicine Associates PA Past Accepting new patients
Freestone Emergency Medicine Associates PA Past Accepting new patients
Wood Emergency Medicine Associates PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Innovative Emergency Physicians of Sunnyvale PA Past Accepting new patients
Comanche County Medical Center Company Past Accepting new patients
Camp Emergency Medicine Associates PA Past Accepting new patients
Affilion of Texas PLLC Past Accepting new patients
Plano Emergency Physicians PLLC Past Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1306888342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 FAIRWAY DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101142",
            "telephone_number": "214-395-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY",
            "address_2": "SUITE #302",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575151",
            "telephone_number": "972-859-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113256515",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113256501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.