Active NPI
Randolph Y. Chang, MD
- Pain Medicine (Anesthesiology) Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD483068
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (717) 531-6597
- NPI assigned
- Jun 23, 2006
- Last updated
- Nov 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036088768 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD483068 | PA | Primary |
| Pain Medicine Physician | 208VP0000X | 036-088768 | IL | |
| Interventional Pain Medicine Physician | 208VP0014X | 036088768 | IL | |
| Interventional Pain Medicine Physician | 208VP0014X | 01066493A | IN |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
425 Joliet St.
Suite 400
Dyer, IN 46311
Phone (219) 865-3819
Other practice location 1
2740 W Foster Ave
Suite 301
Chicago, IL 60625-3500
Phone (219) 227-3622
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11528006 | Other | CAQH | |
| 036088768 | Medicaid | IL | |
| 201003790 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-5638
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088768 | IL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| Advanced Pain & Anesthesia Consultants, PC | Pain Medicine | Current | Accepting new patients |
| Advance Pain & Anesthesia Consultants, PC | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Apac Surgical Center II, LLC | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physcian Group | Current | Accepting new patients | |
| Michiana Surgery Center, LLC | Current | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Pain Medicine | Past | Accepting new patients |
Locations
2740 W Foster Ave
Ste 301
Chicago, IL 60625
Phone (773) 271-3139
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
2210 Dean St
Ste K
St Charles, IL 60175
Phone (630) 377-5712
10215 W Roosevelt Rd
Ste A
Westchester, IL 60154
Phone (708) 483-7007
2450 Wolf Rd
Ste D
Westchester, IL 60154
Phone (708) 483-7007
11456 Broadway
Crown Point, IN 46307
Phone (219) 488-0154
11460 Broadway
Crown Point, IN 46307
Phone (219) 488-0155
425 US Highway 30
Ste 400
Dyer, IN 46311
Phone (219) 488-0165
7905 Calumet Ave
Rm 1146
Munster, IN 46321
Phone (219) 488-0154
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
dba Apac, PC
- Pain Medicine (Anesthesiology) Physician
- Crown Point, IN
- NPI 1457387078
IL
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1306386644
-
- Critical Care Medicine (Anesthesiology) Physician
- Hershey, PA
- NPI 1841264041
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Durable Medical Equipment & Medical Supplies
- La Porte, IN
- NPI 1629966106
-
dba APAC Surgery Center II LLC
- Ambulatory Surgical Clinic/Center
- Crown Point, IN
- NPI 1831125962
-
- Ambulatory Surgical Clinic/Center
- Mishawaka, IN
- NPI 1942637301
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Hershey, PA
- NPI 1255482089
Pain Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1013674266
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1497781488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 JOLIET ST.",
"address_2": "SUITE 400",
"city": "DYER",
"state": "IN",
"postal_code": "46311",
"telephone_number": "219-865-3819",
"fax_number": "219-865-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-6597"
}
],
"practiceLocations": [
{
"address_1": "2740 W Foster Ave",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253500",
"country_code": "US",
"telephone_number": "219-227-3622",
"fax_number": "219-865-5401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "RANDOLPH",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036088768",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD483068",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "IL",
"license": "036-088768",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036088768",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IN",
"license": "01066493A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11528006",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088768",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201003790",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.