Individual provider Active NPI

Jason Sungkwon Chang, MD

  • Emergency Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1457534687
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD434408 Issued in PA
Practice address
3600 Forbes Ave
Forbes Tower on Meyran Ave, Suite 10028
Pittsburgh, PA 15213-3410
Phone
(412) 647-8287
NPI assigned
Dec 11, 2007
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD434408 PA Primary

Addresses

Primary practice location

3600 Forbes Ave
Forbes Tower on Meyran Ave, Suite 10028
Pittsburgh, PA 15213-3410

Mailing address

3600 Forbes Ave Meyran Ave
Forbes Tower Suite 10028
Pittsburgh, PA 15213-2536
Phone (412) 647-8287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080617000637 PA Practitioner - Emergency Medicine 9133290224 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities Inc Emergency Medicine CurrentSince Nov 1, 2010 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2008 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Oct 14, 2018 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Nov 1, 2010 Accepting new patients
St Clair Medical Services Inc CurrentSince Oct 14, 2018 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients

Locations

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

3600 Forbes Ave
Ste 10028
Pittsburgh, PA 15213
Phone (412) 647-8287

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: jason.s.chang@upmcdirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1457534687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE MEYRAN AVE",
            "address_2": "FORBES TOWER SUITE 10028",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE",
            "address_2": "FORBES TOWER ON MEYRAN AVE, SUITE 10028",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410",
            "telephone_number": "412-647-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JASON",
        "middle_name": "SUNGKWON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD434408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.