Individual provider Active NPI

Ian Cheng-Yi Chang, M.D.

  • Cardiovascular Disease Physician
  • Rochester, MN
National Provider Identifier
1538451802
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
57185 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57185 MN
Cardiovascular Disease Physician 207RC0000X MD046885 DC
Cardiovascular Disease Physician 207RC0000X 57185 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

Other names 1

  • Dr. Cheng-Yi Chang Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ichang119727@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, DC, IA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140114001507 MN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153559307 Reassigns benefits to 3 organizations
I20190820002572 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153559307 Reassigns benefits to 2 organizations
I20211109003131 IA Practitioner - Cardiovascular Disease (Cardiology) 1153559307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winneshiek Medical CenterGroup PAC ID 4688582935, 99 clinicians
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

114 Main St S
Mabel, MN 55954-9754
Phone (507) 493-5115

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD046885DCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Current Accepting new patients
Fairview Health Services CurrentSince Dec 24, 2013 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2015 Accepting new patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
Winneshiek Medical Center CurrentSince Aug 10, 2021 Accepting new patients
Winneshiek Medical Center CurrentSince Aug 10, 2021 Accepting new patients
Winneshiek Medical Center Current Accepting new patients
Fairview Health Services Current Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2015 Accepting new patients
Winneshiek Medical Center CurrentSince Feb 1, 2022 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

106 Irving St NW
Washington, DC 20010
Phone (202) 877-0275

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
Fl 1
Washington, DC 20010

901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

18101 Prince Philip Dr
Ste 5200
Olney, MD 20832
Phone (301) 570-7455

9000 Franklin Square Dr
Fl 2
Rosedale, MD 21237
Phone (443) 777-7320

114 Main St S
Mabel, MN 55954
Phone (507) 493-5115

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1538451802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "IAN",
        "middle_name": "CHENG-YI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "57185",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD046885",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "57185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ichang119727@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHENG-YI",
            "last_name": "CHANG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.