Individual provider Active NPI

Michael David Chang, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Gainesville, FL
National Provider Identifier
1427318336
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
TRN17275 Issued in FL
Practice address
1600 SW Archer Rd
Dept. of Pathology
Gainesville, FL 32610-0275
Phone
(352) 265-7977
NPI assigned
May 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X TRN17275 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Dept. of Pathology
Gainesville, FL 32610-0275

Mailing address

1600 SW Archer Rd
Dept. of Pathology
Gainesville, FL 32610-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170210002154 FL Practitioner - Pathology 9335374883 Reassigns benefits to 1 organization
I20220805000401 MD Practitioner - Pathology 9335374883
I20231129001671 CT Practitioner - Pathology 9335374883 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Gi PLLCGroup PAC ID 9830110758, 243 clinicians
Eastern Connecticut Pathology Consultants, PCGroup PAC ID 3173511581, 19 clinicians

Practice addresses (Care Compare)

105 Wawecus St
Norwich, CT 06360-2146
Phone (860) 859-9061

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6487

94 S St
Southbridge, MA 01550-4000
Phone (508) 765-9771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55.67 of 100Reported as group
Quality
46.42
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 25, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 9, 2017 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 9, 2017 Accepting new patients
Eastern Connecticut Pathology Consultants, PC Anatomic Pathology & Clinical Pathology CurrentSince Nov 17, 2023 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Nov 20, 2024 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

105 Wawecus St
Norwich, CT 06360
Phone (860) 533-4692

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
#100275
Gainesville, FL 32610
Phone (352) 273-7839

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

94 South St
Southbridge, MA 01550
Phone (508) 764-2772

Organizations & group practices 5

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 3

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1427318336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100275",
            "telephone_number": "352-265-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "TRN17275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.