Individual provider Active NPI

Michael CHI-Ming Chang, MD

  • Surgical Critical Care Physician
  • Mobile, AL
National Provider Identifier
1477538510
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD.14081 Issued in AL
Practice address
2451 University Hospital Drive, Mastin 101
Mobile, AL 36617-2300
Phone
(251) 445-8282
Fax
(251) 445-8481
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9400747 NC
Surgical Critical Care Physician 2086S0102X 9400747 NC
Trauma Surgery Physician 2086S0127X 9400747 NC
Surgical Critical Care Physician 2086S0102X MD.14081 AL Primary

Addresses

Primary practice location

2451 University Hospital Drive, Mastin 101
Mobile, AL 36617-2300

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626

Other identifiers 8

IdentifierTypeStateIssuer
4602529OtherNCAETNA
6590OtherNCPARTNERS
51284OtherNCMEDCOST
Q0074EMedicaidSC
22049OtherNCBLUE CROSS
221986000MedicaidWV
8922049MedicaidNC
7302185MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181023000426 AL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9234117763 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.14081ALMDSurgical Critical Care Physician
9400747NCMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Surgery CurrentSince Sep 1, 2018 Accepting new patients
University of South Alabama Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama CurrentSince Sep 1, 2018 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
USA Health Physician Billing Services LLC Surgery CurrentSince Oct 1, 2019 Accepting new patients

Locations

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

2451 University Hospital Dr
#102
Mobile, AL 36617
Phone (251) 470-5890

2451 University Hospital Dr
#101
Mobile, AL 36617
Phone (251) 445-8282

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207

Organizations & group practices 6

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1477538510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-445-8282",
            "fax_number": "251-445-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "middle_name": "CHI-MING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9400747",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NC",
            "license": "9400747",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NC",
            "license": "9400747",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AL",
            "license": "MD.14081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4602529",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "6590",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "51284",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0074E",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "22049",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221986000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922049",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302185",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.