Individual provider Active NPI

Michael Chang, MD

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1356928717
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME179379 Issued in FL
Practice address
2040 Market St Apt 1104
Philadelphia, PA 19103-3369
Phone
(626) 318-7152
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 MT223380 PA
Orthopaedic Surgery Physician 207X00000X ME179379 FL Primary

Addresses

Primary practice location

2040 Market St Apt 1104
Philadelphia, PA 19103-3369

Mailing address

2040 Market St Apt 1104
Philadelphia, PA 19103-3369
Phone (626) 318-7152

Other practice location 1

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210603002599 PA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 1557760055

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3015 N Rocky Point Dr E
Unit 812
Tampa, FL 33607-6094

5901 E Fowler Ave
Suite 100
Temple Terrace, FL 33617-2305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME179379FLMDOrthopaedic Surgery Physician
MT223380PAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1356928717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MARKET ST APT 1104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033369",
            "telephone_number": "626-318-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MARKET ST APT 1104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033369",
            "telephone_number": "626-318-7152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 E Fowler Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336172305",
            "country_code": "US",
            "telephone_number": "813-978-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT223380",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME179379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.