Active NPI
Philip CHI-Luen Chang, M.D.
- Pediatrics Physician
- Boynton Beach, FL
National Provider Identifier
1497954879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME99379
- Practice address
- 10301 Hagen Ranch Rd
BLDG. a, Ste 760
Boynton Beach, FL 33437-3724 - Phone
- (561) 733-4400
- Fax
- (561) 733-5004
- NPI assigned
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME99379 | FL | Primary |
Addresses
Primary practice location
10301 Hagen Ranch Rd
BLDG. a, Ste 760
Boynton Beach, FL 33437-3724
Mailing address
900 S Pine Island Rd
Suite 800
Plantation, FL 33324-3920
Phone (561) 733-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278747400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240516001738 | FL | Order and Referring Only - Pediatric Medicine | 8325489727 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME99379 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittel, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- pchang@pa.trimed.direct-ci.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Boynton Beach, FL
- NPI 1952519654
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1497954879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD",
"address_2": "SUITE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243920",
"telephone_number": "561-733-4400",
"fax_number": "561-733-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"address_2": "BLDG. A, STE 760",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724",
"telephone_number": "561-733-4400",
"fax_number": "561-733-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "PHILIP",
"middle_name": "CHI-LUEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME99379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278747400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.