Active NPI
Kenneth J Chang, MD
- Gastroenterology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 000000G61843
- Practice address
- 500 Superior Ave Ste 240
Newport Beach, CA 92663-3660 - Phone
- (949) 764-8959
- NPI assigned
- Oct 16, 2006
- Last updated
- May 7, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 000000G61843 | CA | Primary |
Addresses
Primary practice location
500 Superior Ave Ste 240
Newport Beach, CA 92663-3660
Mailing address
500 Superior Ave Ste 240
Newport Beach, CA 92663-3660
Phone (949) 764-8959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100014901 | Other | CA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Warren Alpert Medical School of Brown University, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533
500 Superior Ave
Suite 270
Newport Beach, CA 92663-3657
Phone (949) 791-3370
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.24
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.7
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 127 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000G61843 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Gastroenterology | Current | Accepting new patients |
| Hoag Clinic | Current | Accepting new patients | |
| UC Regents | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients |
Locations
500 Superior Ave
Ste 100
Newport Beach, CA 92663
Phone (949) 706-3300
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 22
Orange, CA 92868
Phone (888) 717-4463
101 The City Dr S
Bldg 22C
Orange, CA 92868
Phone (714) 456-2249
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
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.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1518047604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVE STE 240",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633660",
"telephone_number": "949-764-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVE STE 240",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633660",
"telephone_number": "949-764-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "KENNETH J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "000000G61843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "100014901",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.