Individual provider Active NPI

Randolph Y. Chang, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hershey, PA
National Provider Identifier
1497781488
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD483068 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(717) 531-6597
NPI assigned
Jun 23, 2006
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11528006OtherCAQH
036088768MedicaidIL
201003790MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA2 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
I20031125000346 IL Practitioner - Pain ManagementPractitioner - Anesthesiology 0648174235 Reassigns benefits to 1 organization
I20231113002515 PA Practitioner - AnesthesiologyPractitioner - Pain Management 0648174235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
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 100Reported as group
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

LicenseStateTypeSpecialty
036088768ILMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Nov 1, 2023 Accepting new patients
Advanced Pain & Anesthesia Consultants, PC Pain Medicine CurrentSince May 1, 2007 Accepting new patients
Advance Pain & Anesthesia Consultants, PC CurrentSince May 1, 2007 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 CurrentSince Nov 1, 2023 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.