Organization Active NPI

Alexander Chang MD PC

  • Ophthalmology Physician
  • Pittsburgh, PA
National Provider Identifier
1386861995
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALEXANDER CHANG MD PC
Practice address
2101 Greentree Rd Ste 105
Pittsburgh, PA 15220-1400
Phone
(412) 429-2020
Fax
(412) 429-0932
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Mrs. Sarah E Benard
Title
Office Manager
Phone
(412) 429-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X PA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X PA Primary

Addresses

Primary practice location

2101 Greentree Rd Ste 105
Pittsburgh, PA 15220-1400

Mailing address

2101 Greentree Rd Ste 105
Pittsburgh, PA 15220-1400
Phone (412) 429-2020

Other identifiers 2

IdentifierTypeStateIssuer
0018699240001MedicaidPA
CN5293OtherPAMEDICARE RET RAIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000783 PA Part B Supplier - Clinic/Group Practice 2961481759 Receives reassigned benefits from 17 practitioners
Practice locations: Ellwood City, PA; MC Murray, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory
Tax ID family
Anita Dash-Modi MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2101 Greentree Rd
Ste 105
Pittsburgh, PA 15220
Phone (412) 429-2020

2101 Greentree Rd
Ste 2020
Pittsburgh, PA 15220

2101 Greentree Rd
Pittsburgh, PA 15220

1050 Bower Hill Rd
Ste 7200
Pittsburgh, PA 15243

2101 Greentree Rd
#105
Pittsburgh, PA 15220

2101 Greentree Rd
Ste 109
Pittsburgh, PA 15220

Interoperability endpoints

  • Direct secure messaging: mlewen@changeye.intellechartdirect.net
  • Direct secure messaging: malunni@changeye.intellechartdirect.net
  • Direct secure messaging: jscherer@changeye.intellechartdirect.net
  • Direct secure messaging: bgaster@changeye.intellechartdirect.net
  • Direct secure messaging: rmcbee@changeye.intellechartdirect.net
  • Direct secure messaging: bcalle@changeye.intellechartdirect.net
  • Direct secure messaging: achang@changeye.intellechartdirect.net
  • Direct secure messaging: rngan@changeye.intellechartdirect.net
  • Direct secure messaging: mschraeder@changeye.intellechartdirect.net

Ownership & related parties

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1386861995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GREENTREE RD STE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201400",
            "telephone_number": "412-429-2020",
            "fax_number": "412-429-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GREENTREE RD STE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201400",
            "telephone_number": "412-429-2020",
            "fax_number": "412-429-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER CHANG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "BENARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "412-429-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018699240001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RET RAIL",
            "identifier": "CN5293",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.