Individual provider Active NPI

Gordon K I Chang, MD

  • Hospitalist Physician
  • Topeka, KS
National Provider Identifier
1477563047
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A31074 Issued in CA
Practice address
1700 SW 7TH St
Topeka, KS 66606-2489
Phone
(785) 295-8359
Fax
(785) 231-5988
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 04-34753 KS
Hospitalist Physician 208M00000X A31074 CA Primary

Addresses

Primary practice location

1700 SW 7TH St
Topeka, KS 66606-2489

Mailing address

Dept CH 14389
Palatine, IL 60055-4389
Phone (785) 295-5307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK2 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
I20091218000250 CA Practitioner - Internal Medicine 4789724949 Reassigns benefits to 4 organizations
I20220517002185 OK Practitioner - Internal Medicine 4789724949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkian Hospitalist CorporationGroup PAC ID 7113310988, 10 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1900 Sullivan Ave
Daly City, CA 94015-2200
Phone (415) 237-3185

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 30, 2024 Accepting new patients
Sutter Valley Medical Foundation Hospitalist CurrentSince Nov 4, 2023 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 30, 2024 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Jan 8, 2024 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Jan 8, 2024 Accepting new patients
Midwest Hospitalist Group PLLC CurrentSince May 1, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 4, 2023 Accepting new patients
Clarkian Hospitalist Corporation Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Paradise Medical Group, Inc. Hospitalist Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1146 N Central Ave
Glendale, CA 91202
Phone (818) 500-0910

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

Interoperability endpoints

  • Direct secure messaging: gchang658470@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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 5

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1477563047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 14389",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600554389",
            "telephone_number": "785-295-5307",
            "fax_number": "785-270-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062489",
            "telephone_number": "785-295-8359",
            "fax_number": "785-231-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GORDON",
        "middle_name": "K I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "04-34753",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A31074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.