Individual provider Active NPI

Andrew E-Kong Chang, MD

  • Obstetrics & Gynecology Physician
  • Hamilton, OH
National Provider Identifier
1356784441
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.137264 Issued in OH
Practice address
520 Eaton Ave Ste 200
Hamilton, OH 45013-2716
Phone
(513) 867-1200
Fax
(513) 867-1266
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 51355 KY
Obstetrics & Gynecology Physician 207V00000X 35.137264 OH Primary

Addresses

Primary practice location

520 Eaton Ave Ste 200
Hamilton, OH 45013-2716

Mailing address

520 Eaton Ave Ste 200
Hamilton, OH 45013-2716
Phone (513) 867-1200

Other identifiers 1

IdentifierTypeStateIssuer
0325648MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address achang709669@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200204001411 OH Practitioner - Obstetrics/Gynecology 3870869423 Reassigns benefits to 1 organization
I20240909002922 CA Practitioner - Obstetrics/Gynecology 3870869423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Womens Health CareGroup PAC ID 1052373230, 6 clinicians

Practice addresses (Care Compare)

5 Medical Plaza Dr
Suite 250
Roseville, CA 95661-2868
Phone 9167822229110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
98.41
Promoting interoperability
100
Improvement activities
40
Cost
73.54

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Womens Health Care Obstetrics & Gynecology CurrentSince Jun 10, 2024 Accepting new patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients

Locations

5 Medical Plaza Dr
Ste 250
Roseville, CA 95661
Phone (916) 782-2229

3035 Hamilton Mason Rd
Ste 201
Fairfield Township, OH 45011
Phone (513) 721-3200

520 Eaton Ave
Ste 200
Hamilton, OH 45013
Phone (513) 867-1200

2449 Ross Millville Rd
Ste 252
Hamilton, OH 45013
Phone (513) 267-1200

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Interoperability endpoints

  • Direct secure messaging: achang675990@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 1

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1356784441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 EATON AVE STE 200",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132716",
            "telephone_number": "513-867-1200",
            "fax_number": "513-867-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 EATON AVE STE 200",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132716",
            "telephone_number": "513-867-1200",
            "fax_number": "513-867-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANDREW",
        "middle_name": "E-KONG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "51355",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.137264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325648",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "520 Eaton Ave Ste 200",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achang709669@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "520 Eaton Ave Ste 200",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.