Willis Chang, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

6115 Issued in HI

Practice address

91-2139 Fort Weaver Road
#213
Ewa Beach, HI 96706

Phone

(808) 671-2456

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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 1

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

University of Hawaii John a. Burns School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alfred a. Ines, MD

  • Specialist
  • Waipahu, HI
  • NPI 1447661293
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1558306720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250370",
            "telephone_number": "808-536-0300",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2139 FORT WEAVER ROAD",
            "address_2": "#213",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96706",
            "telephone_number": "808-671-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WILLIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "HI",
            "license": "6115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00661001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CHI Nga Chan, MD
• Daniel K Chan, MD
• Fuchat Chan, M.D.
• Kelly K Chan
• Anthony Ray Chance, MSW
• Steven Lambert Chaplin, M.D.
• Julia Char
• Charles a. Wilson D.O., LLC
• Shivani Singh Chaudhary, MD
• Samson Chik

• Infectious Disease Physician in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Infectious Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.

Verify at the official NPI Registry.