Individual provider Active NPI

Hoon Chang, MD

  • Nephrology Physician
  • Fairfax, VA
National Provider Identifier
1457987364
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101274833 Issued in VA
Practice address
13135 Route 50 Ste 135
Fairfax, VA 22033-1907
Phone
(703) 961-0484
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT229280 PA
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 0101274833 VA Primary

Addresses

Primary practice location

13135 Route 50 Ste 135
Fairfax, VA 22033-1907

Mailing address

13135 Route 50 Ste 135
Fairfax, VA 22033-1907
Phone (703) 961-0484

Other practice location 1

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Other practice location 2

3400 Spruce Street
1 Founders Pavilion
Philadelphia, PA 19104
Phone (215) 662-2638

Other practice location 3

655 Watkins Mill Rd Fl 5
Gaithersburg, MD 20879-3301
Phone (240) 632-4021

Other identifiers 1

IdentifierTypeStateIssuer
MT229280OtherPAPA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200701000310 DC Practitioner - Internal Medicine 8224451760 Reassigns benefits to 2 organizations
I20251001001765 VA Practitioner - Nephrology 8224451760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Georgetown University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Northern Virginia IncGroup PAC ID 4587566138, 15 clinicians

Practice addresses (Care Compare)

2751 Killarney Dr
Woodbridge, VA 22192-4172
Phone (703) 476-1740

8501 Arlington Blvd
Suite 100
Fairfax, VA 22031-4625
Phone (703) 476-1740

Hospital & facility affiliations

  • DaVita Dale City Dialysis facility, Dale City, VA, CCN 492689
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT229280PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jun 22, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jun 22, 2020 Accepting new patients
Nephrology Associates of Northern Virginia, Inc Nephrology CurrentSince Sep 1, 2025 Accepting new patients

Locations

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

13135 Route 50
Fairfax, VA 22033
Phone (703) 391-0900

13135 Route 50
Ste 135
Fairfax, VA 22033
Phone (703) 961-0488

8501 Arlington Blvd
Ste 100
Fairfax, VA 22031
Phone (703) 876-8445

2751 Killarney Dr
Woodbridge, VA 22192
Phone (703) 897-7027

Interoperability endpoints

  • Direct secure messaging: hchang46549@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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 8

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1457987364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 ROUTE 50 STE 135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 ROUTE 50 STE 135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Forest Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209101460",
            "country_code": "US",
            "telephone_number": "301-754-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Spruce Street",
            "address_2": "1 Founders Pavilion",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-662-2638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Watkins Mill Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208793301",
            "country_code": "US",
            "telephone_number": "240-632-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "HOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT229280",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101274833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "MT229280",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.