NPIMap

Individual provider Active NPI

Man Chin Chang, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Providence, RI
National Provider Identifier
1346442563
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD13879 Issued in RI
Practice address
100 Highland Ave
Suite 203
Providence, RI 02906-2740
Phone
(401) 351-7100
Fax
(401) 751-6179
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP01043 RI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD13879 RI Primary

Addresses

Primary practice location

100 Highland Ave
Suite 203
Providence, RI 02906-2740

Mailing address

100 Highland Ave
Suite 203
Providence, RI 02906-2740
Phone (401) 351-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20120731000770 RI Practitioner - EndocrinologyPractitioner - Internal Medicine 1951567296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Connecticut School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and Endocrinology Associates, Inc.Group PAC ID 0749281087, 5 clinicians

Practice addresses (Care Compare)

100 Highland Ave
Suite 203
Providence, RI 02906-2752
Phone (401) 351-7100

400 Bald Hill Rd
Warwick, RI 02886-1617
Phone (401) 921-5272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.15 of 100Reported as group
Quality
61.74
Improvement activities
40
Cost
81.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP01043RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrinology Associates, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2012 Accepting new patients

Locations

100 Highland Ave
Ste 203
Providence, RI 02906
Phone (401) 351-7100

400 Bald Hill Rd
Warwick, RI 02886
Phone (401) 352-0005

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 9

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1346442563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062740",
            "telephone_number": "401-351-7100",
            "fax_number": "401-751-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062740",
            "telephone_number": "401-351-7100",
            "fax_number": "401-751-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MAN CHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP01043",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "RI",
            "license": "MD13879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.