Shereen Juhsun Chang, MD
Individual provider Active NPI Neurology Physician · Cedar Rapids, IA
NPI 1508917857 · NPPES record last updated Sep 11, 2013
Key facts
- NPI
- 1508917857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 37031 (IA)
- Practice address
- 202 10TH Street SE
Cedar Rapids, IA 52403-2404 - Phone
- (319) 247-3010
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Clinic of Iowa PC
Practice addresses (Care Compare)
202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010
275 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010
Hospital & facility affiliations
- St Lukes Hospital
- Mercy Medical Center - Cedar Rapids
- Jones Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.5 of 100
- Quality
- 68.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070411000086 | IA | Practitioner - Neurology | 6709981384 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37031 | IA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic of Iowa, PC | Current |
Accepting new patients | |
| Physicians' Clinic of Iowa, PC | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010
202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIJCBD
- shereen.chang@pciowa.eclinicaldirectplus.com
- schang40421@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 37031 | IA | Yes |
Addresses
Primary practice location
202 10TH Street SE
Cedar Rapids, IA 52403-2404
Mailing address
PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 398-1583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0745117 | Medicaid | IA |
Other providers in Cedar Rapids, IA
- Jonathan Chambers
- Jeanne Chan
- John Michael Chandler
- Michael S Chandra
- Kortney Ann Chaney
- Erin Chaplin
- Umar Shafique Chaudhry
- Mohit K Chawla
- Chelsea Cheney
- Bogdan Nicolae Cherascu
All providers in Cedar Rapids, IA · Neurology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.