Individual provider Active NPI

James Chang

  • Pediatric Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1316471204
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
UA4759 Issued in TX
Practice address
4499 Medical Dr Ste 289
San Antonio, TX 78229-3712
Phone
(210) 614-3264
Fax
(210) 615-0888
NPI assigned
Apr 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Cardiology Physician 2080P0202X UA4759 TX Primary

Addresses

Primary practice location

4499 Medical Dr Ste 289
San Antonio, TX 78229-3712

Mailing address

1200 Brooklyn Ave Ste 250
San Antonio, TX 78212-4828
Phone (210) 229-1048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113003639 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 5496102493 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UA4759TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Pediatric Cardiology CurrentSince Jan 15, 2024 Accepting new patients
Methodist Physician Practices, PLLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

2700 W Pleasant Run Rd
Ste 220
Lancaster, TX 75146
Phone (888) 871-1883

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1200 Brooklyn Ave
Ste 250
San Antonio, TX 78212
Phone (210) 226-5933

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

4499 Medical Dr
Ste 289
San Antonio, TX 78229
Phone (210) 614-3264

540 Madison Oak Dr
Ste 520
San Antonio, TX 78258
Phone (210) 490-0202

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

4499 Medical Dr
Ste 272
San Antonio, TX 78229
Phone (210) 614-3264

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • Direct secure messaging: 19813-chang-james@direct.leadingreach.com
  • Direct secure messaging: james.chang@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1316471204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124828",
            "telephone_number": "210-229-1048",
            "fax_number": "210-615-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 289",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293712",
            "telephone_number": "210-614-3264",
            "fax_number": "210-615-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "UA4759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.