Individual provider Active NPI

Yupo Jesse Chang, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1467451575
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7693 Issued in TX
Practice address
3711 Briarpark Dr Ste 202
Houston, TX 77042-5246
Phone
(713) 893-3792
NPI assigned
Jul 20, 2005
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7693 TX Primary

Addresses

Primary practice location

3711 Briarpark Dr Ste 202
Houston, TX 77042-5246

Mailing address

3711 Briarpark Dr Ste 202
Houston, TX 77042-5246
Phone (713) 893-3792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050202000590 TX Practitioner - Family Practice 0941108344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Physicians PAGroup PAC ID 5496840928, 8 clinicians

Practice addresses (Care Compare)

3711 Briarpark Dr
Suite 202
Houston, TX 77042-5246
Phone (713) 893-3792

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7693TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Physicians PA CurrentSince Feb 1, 2007 Accepting new patients
Richard H. Rolnick, MD, PA Past Accepting new patients
Memorial Rehabilitation Associates, P.a. Past Accepting new patients
Suncoast Medical Group Inc Past Accepting new patients
Southwest Doctors PA PastSince Aug 1, 2001 Accepting new patients

Locations

3711 Briarpark Dr
Ste 202
Houston, TX 77042
Phone (713) 589-9159

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4066/brand/1/csg/1/fhir/r4

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, 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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1467451575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 BRIARPARK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770425246",
            "telephone_number": "713-893-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 BRIARPARK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770425246",
            "telephone_number": "713-893-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YUPO",
        "middle_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.