Individual provider Active NPI

Johanna Chang, M.D.

  • Pediatric Radiology Physician
  • Hudson, OH
National Provider Identifier
1356570980
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
A110028 Issued in CA
Practice address
5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455
Phone
(330) 655-1869
Fax
(330) 655-3828
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A110028 CA
Pediatric Radiology Physician 2085P0229X A110028 CA Primary

Addresses

Primary practice location

5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455

Mailing address

5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455
Phone (330) 655-1869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, CT, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140811000007 CA Practitioner - Diagnostic Radiology 4789801051 Reassigns benefits to 5 organizations
I20160531002508 OH Practitioner - Pediatric MedicinePractitioner - Diagnostic Radiology 4789801051 Reassigns benefits to 1 organization
I20191203001568 CT Practitioner - Diagnostic Radiology 4789801051 Reassigns benefits to 4 organizations
I20191231001990 MA Practitioner - Diagnostic Radiology 4789801051 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Radiology PC 121 clinicians

Practice addresses (Care Compare)

450 Ortega St
San Francisco, CA 94122-4622
Phone (860) 289-3375

Hospital & facility affiliations

  • Connecticut Childrens Medical Center Hospital, Hartford, CT, CCN 073300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110028CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Imaging Center, LLC Pediatric Radiology CurrentSince Jan 1, 2020 Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Children'S Hospital of Orange County CurrentSince Oct 13, 2018 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Apr 15, 2020 Accepting new patients
University of California San Francisco CurrentSince Jan 28, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2020 Accepting new patients
Connecticut Imaging Partners, LLC Pediatric Radiology CurrentSince Jan 1, 2020 Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Jan 28, 2015 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Apr 15, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Nov 1, 2015 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Apr 12, 2016 Accepting new patients
Children'S Hospital Medical Center of Akron Diagnostic Radiology CurrentSince Apr 12, 2016 Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients
Solano Diagnostics Partners a Calif Limited Partnership Diagnostic Radiology Past Accepting new patients

Locations

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

Dept LA 21333
Pasadena, CA 91185

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

399 Farmington Ave
Lowr 1
Farmington, CT 06032

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

111 Founders Plz
Ste 400
Hartford, CT 06108
Phone (860) 291-6554

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 100
Wethersfield, CT 06109
Phone 860289337587099

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

1 Donalds Way
Ste 105
East Bridgewater, MA 02333
Phone (508) 350-2200

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

5655 Hudson Dr
Ste 210
Hudson, OH 44236
Phone (330) 655-1869

Interoperability endpoints

  • Direct secure messaging: jchang51727@connecticutchildrens.direct-ci.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1356570980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JOHANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A110028",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A110028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.