Alicia K Chang, MD | NPI 1316237332

Key facts

NPI: 1316237332
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Hematology & Oncology Physician 2080P0207X
License: R6533 (TX)
Practice address: 1102 Bates Ave Ste 1025.06
Houston, TX 77030
Phone: (328) 824-1078
NPI assigned: Apr 11, 2011
Sex: Female
Sole proprietor: Yes

Organizations & group practices 4

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.

Dell Children'S Medical Group Pediatrics Physician · Austin, TX · NPI 1326072943

Medicare reassignment Care Compare group NPD SINGLE SPECIALTY · TX
Dell Children'S Medical Group Sleep Disorder Diagnostic Clinic/Center · Austin, TX · NPI 1124748249

Care Compare group NPD
Ascension Seton Children's Hospital · Austin, TX · NPI 1447355771

NPD (past)
Seton Family of Doctors Neurological Surgery Physician · Austin, TX · NPI 1588997233

NPD (past) SINGLE SPECIALTY

Medicare Care Compare profile

Specialty: Pediatric Medicine
Also: Hematology/Oncology
Education: Tulane University School of Medicine, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Dell Childrens Medical Group (117 clinicians)

Practice addresses (Care Compare)

1301 Barbara Jordan Blvd
Suite 401
Austin, TX 78723-3078
Phone (512) 628-1900

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20191018000460	TX	Practitioner - Pediatric Medicine Practitioner - Hematology/Oncology	7214268416	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Dell Children'S Medical Group		Current since Oct 15, 2019	Accepting new patients
Dell Children'S Medical Group	Single Specialty	Current since Oct 15, 2019	Accepting new patients
Seton Family of Doctors	Single Specialty	Past	Accepting new patients
Ascension Seton		Past	Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1301 Barbara Jordan Blvd
Ste 401
Austin, TX 78723
Phone (512) 628-1810

Interoperability endpoints

Direct secure messaging: alicia.chang.1@8363.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Hematology & Oncology Physician Group: 193400000X SINGLE SPECIALTY GROUP	2080P0207X	R6533	TX	Yes

Addresses

Primary practice location

1102 Bates Ave Ste 1025.06
Houston, TX 77030

Mailing address

2499 Judiway St Unit 925065
Houston, TX 77292-7064

Other providers in Houston, TX

All providers in Houston, TX · Pediatric Hematology & Oncology Physician in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.