Active NPI
Christopher Han Sheng Chang, M.D., PH.D.
- Gastroenterology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD2015-0819
- Practice address
- 1501 San Pedro Dr SE
Medicine Service, Box 111
Albuquerque, NM 87108-5153 - Phone
- (505) 265-1711
- Fax
- (505) 256-2803
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A62290 | CA | |
| Gastroenterology Physician | 207RG0100X | MD2015-0819 | NM | Primary |
Addresses
Primary practice location
1501 San Pedro Dr SE
Medicine Service, Box 111
Albuquerque, NM 87108-5153
Mailing address
10833 Le Conte Ave
Division of Digestive Diseases, UCLA School of Medicine
Los Angeles, CA 90095-1684
Phone (310) 206-9053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A622900 | Other | CA | MEDICAL PPIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62290 | CA | MD | Pharmacist |
| A62290 | CA | MD | Gastroenterology Physician |
| MD2015-0819 | NM | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- cchang100518@direct.cshs.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.
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
dba UNM Truman Health Services Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1417981796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"address_2": "DIVISION OF DIGESTIVE DISEASES, UCLA SCHOOL OF MEDICINE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951684",
"telephone_number": "310-206-9053",
"fax_number": "310-267-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SAN PEDRO DR SE",
"address_2": "MEDICINE SERVICE, BOX 111",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085153",
"telephone_number": "505-265-1711",
"fax_number": "505-256-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "CHRISTOPHER",
"middle_name": "HAN SHENG",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A62290",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "MD2015-0819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PPIN #",
"identifier": "00A622900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.