Individual provider Active NPI

Shih Min Chang, MS, RD, LD.

  • Renal Nutrition Registered Dietitian
  • Conroe, TX
National Provider Identifier
1437720265
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
DT83682 Issued in TX
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

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220202001466 TX Practitioner - Registered Dietitian Or Nutrition Professional 1355734013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Nephrology Dialysis and Transplantation Associates PAGroup PAC ID 0244294999, 16 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Nephrology Dialysis and Transplantation Associates PA CurrentSince Dec 1, 2021 Accepting new patients
Thrive Nutrition Consultant Nutrition, Renal CurrentSince Oct 30, 2025 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.

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.

Verify at the official NPI Registry.