Individual provider Active NPI

David CHI Chang, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Meridian, ID
National Provider Identifier
1487678769
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
2671566 Issued in ID
Practice address
3025 W Cherry LN Ste 204
Meridian, ID 83642-8530
Phone
(208) 302-3300
Fax
(208) 302-3355
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD218160 OR
Sleep Medicine (Internal Medicine) Physician 207RS0012X 2671566 ID Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD00046930 WA

Addresses

Primary practice location

3025 W Cherry LN Ste 204
Meridian, ID 83642-8530

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

1001 Broadway
Suite 215
Seattle, WA 98122-4397
Phone (206) 860-2365

Other practice location 2

19250 SW 65th Ave Ste 137
Tualatin, OR 97062-7745
Phone (503) 413-5702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, ID3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20061002000472 WA Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Other (Physician) 9133168941 Reassigns benefits to 1 organization
I20250826003981 OR Practitioner - Sleep Medicine 9133168941 Reassigns benefits to 1 organization
I20251022000583 ID Practitioner - Sleep Medicine 9133168941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

19250 SW 65TH Ave
Suite 137
Tualatin, OR 97062-7745
Phone (503) 413-7074

3025 W Cherry LN
Meridian, ID 83642-8530

3025 W Cherry LN
Meridian, ID 83642-8531

6140 W Curtisian Ave
Boise, ID 83704-0109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2671566IDMDSleep Medicine (Internal Medicine) Physician
MD00046930WAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Nov 1, 2025 Accepting new patients
The Polyclinic CurrentSince Sep 1, 2006 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 31, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Nov 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Legacy Clinics LLC CurrentSince Jul 31, 2025 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
The Polyclinic PLLC CurrentSince Sep 1, 2006 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste 204
Meridian, ID 83642
Phone (208) 302-3300

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2222 NW Lovejoy St
Ste 411
Portland, OR 97210
Phone (503) 413-5702

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

19250 SW 65th Ave
Ste 137
Tualatin, OR 97062
Phone (503) 413-5702

1145 Broadway
Seattle, WA 98122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dchang88680@edirect.chehr.org
  • Direct secure messaging: dchang4698360@direct.trinity-health.org

Organizations & group practices 9

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1487678769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W CHERRY LN STE 204",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428530",
            "telephone_number": "208-302-3300",
            "fax_number": "208-302-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Broadway",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224397",
            "country_code": "US",
            "telephone_number": "206-860-2365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19250 SW 65th Ave Ste 137",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970627745",
            "country_code": "US",
            "telephone_number": "503-413-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "middle_name": "CHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OR",
            "license": "MD218160",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "ID",
            "license": "2671566",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00046930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.