NPIMap

Individual provider Active NPI

Changchun Deng, M.D.

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1396866034
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
250367 Issued in NY
Practice address
177 Fort Washington Ave
MHB 6GN-435, New York-Presbyterian/Columbia
New York, NY 10032-3733
Phone
(212) 305-0983
Fax
(212) 305-3035
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 250367 NY Primary

Addresses

Primary practice location

177 Fort Washington Ave
MHB 6GN-435, New York-Presbyterian/Columbia
New York, NY 10032-3733

Mailing address

177 Fort Washington Ave
MHB 6GN-435, New York-Presbyterian/Columbia
New York, NY 10032-3733
Phone (212) 305-0983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110620000315 NY Practitioner - Hematology/OncologyPractitioner - Hematology 5092993196 Reassigns benefits to 4 organizations
I20230128000340 OH Practitioner - Hematology/Oncology 5092993196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250367NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 17, 2011 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Feb 26, 2012 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Feb 7, 2012 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Feb 7, 2012 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Multicare Health System Past Accepting new patients
New York University Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

2350 Ocean Ave
Ste 1
Brooklyn, NY 11229
Phone (718) 616-0385

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

160 E 34th St
Fl 7
New York, NY 10016
Phone (212) 731-5196

177 Fort Washington Ave
#6
New York, NY 10032
Phone (212) 305-0983

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: cdeng218632@ehrdirect.uhhospitals.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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 8

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1396866034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 FORT WASHINGTON AVE",
            "address_2": "MHB 6GN-435, NEW YORK-PRESBYTERIAN/COLUMBIA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323733",
            "telephone_number": "212-305-0983",
            "fax_number": "212-305-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 FORT WASHINGTON AVE",
            "address_2": "MHB 6GN-435, NEW YORK-PRESBYTERIAN/COLUMBIA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323733",
            "telephone_number": "212-305-0983",
            "fax_number": "212-305-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "CHANGCHUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "250367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.