Individual provider Active NPI

Alden S Chang, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1568972115
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C006643 Issued in MD
Practice address
9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958
Phone
(410) 574-1330
Fax
(410) 391-3343
NPI assigned
Oct 10, 2017
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C006643 MD Primary

Addresses

Primary practice location

9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958

Mailing address

9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958
Phone (443) 605-9954

Other practice location 1

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (410) 574-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180103002139 MD Practitioner - Physician Assistant 1456619014 Reassigns benefits to 3 organizations
I20221007001882 DE Practitioner - Physician Assistant 1456619014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C006643MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Sep 15, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 15, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 27, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 15, 2019 Accepting new patients
Union Hospital of Cecil County, Inc. CurrentSince Sep 15, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 27, 2022 Accepting new patients
Christiana Care Health Services, Inc Physician Assistant Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Elkton, MD 21921
Phone (410) 996-8700

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

9105 Franklin Square Dr
Ste 209
Rosedale, MD 21237
Phone (410) 574-1330

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1568972115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR STE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373958",
            "telephone_number": "443-605-9954",
            "fax_number": "410-391-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR STE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373958",
            "telephone_number": "410-574-1330",
            "fax_number": "410-391-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Franklin Square Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212373901",
            "country_code": "US",
            "telephone_number": "410-574-1330",
            "fax_number": "410-391-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ALDEN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C006643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.