Active NPI
Shih Min Chang, MS, RD, LD.
- Renal Nutrition Registered Dietitian
- Conroe, TX
National Provider Identifier
1437720265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- DT83682
- Practice address
- 14023 Sand Ridge Xing
Conroe, TX 77384-5636 - Phone
- (310) 890-8869
- NPI assigned
- Jul 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | DT83682 | TX | Primary |
Addresses
Primary practice location
14023 Sand Ridge Xing
Conroe, TX 77384-5636
Mailing address
14023 Sand Ridge Xing
Conroe, TX 77384-5636
Phone (310) 890-8869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1700 Romano Park LN
Houston, TX 77090-2349
Phone (310) 890-8869
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.53 of 100
- Quality
- 85.26
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Dialysis and Transplantation Associates PA | Current | Accepting new patients | |
| Thrive Nutrition Consultant | Nutrition, Renal | Current | Accepting new patients |
Locations
1700 Romano Park Ln
Houston, TX 77090
Phone (310) 890-8869
6560 Fannin St
Ste 1824
Houston, TX 77030
Phone (713) 521-2825
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.
-
- Nephrology Physician
- Houston, TX
- NPI 1437104429
-
- Renal Nutrition Registered Dietitian
- Conroe, TX
- NPI 1841043627
Nutrition, Renal
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1437720265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14023 SAND RIDGE XING",
"city": "CONROE",
"state": "TX",
"postal_code": "773845636",
"telephone_number": "310-890-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14023 SAND RIDGE XING",
"city": "CONROE",
"state": "TX",
"postal_code": "773845636",
"telephone_number": "310-890-8869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SHIH MIN",
"credential": "MS, RD, LD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "TX",
"license": "DT83682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.