Individual provider Active NPI

Man-Kuang Chang, M.D

  • Infectious Disease Physician
  • Jacksonville, FL
National Provider Identifier
1598963290
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME103472 Issued in FL
Practice address
820 Prudential Dr Ste 515
Credentialing Department
Jacksonville, FL 32207-8207
Phone
(904) 396-4886
Fax
(904) 390-7487
NPI assigned
Jul 5, 2007
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME103472 FL
Infectious Disease Physician 207RI0200X ME103472 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 515
Credentialing Department
Jacksonville, FL 32207-8207

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Other identifiers 2

IdentifierTypeStateIssuer
001467800MedicaidFL
P00787542OtherFLRAILROAD MEDICARE

Other names 1

  • Maung Thura Moe Kyaw Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20091221000034 FL Practitioner - Infectious Disease 1850431065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1747 Baptist Clay Dr
Suite 250a
Fleming Island, FL 32003-8502
Phone (904) 202-4325

1747 Baptist Clay Rd
Suite 340
Fleming Island, FL 32003-8501
Phone (904) 264-4405

820 Prudential Dr
Suite 515
Jacksonville, FL 32207-8207
Phone (904) 396-4886

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc CurrentSince Sep 27, 2009 Accepting new patients
Baptist Primary Care Inc Internal Medicine Current Accepting new patients
Baptist Primary Care Inc CurrentSince Sep 27, 2009 Accepting new patients

Locations

1340 S 18th St
Ste 202A
Fernandina Beach, FL 32034
Phone (904) 202-4325

1747 Baptist Clay Dr
Ste 250A
Fleming Island, FL 32003
Phone (904) 202-4325

14534 Old Saint Augustine Rd
Ste 3110A
Jacksonville, FL 32258
Phone (904) 202-4325

820 Prudential Dr
Ste 515
Jacksonville, FL 32207
Phone (904) 396-4886

836 Prudential Dr
Ste 105A
Jacksonville, FL 32207
Phone (904) 202-4325

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

1320 Roberts Dr
Ste 105A
Jacksonville Beach, FL 32250
Phone (904) 202-4325

Interoperability endpoints

  • Direct secure messaging: mchang28282@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 3

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 6

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1598963290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 515",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078207",
            "telephone_number": "904-396-4886",
            "fax_number": "904-390-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MAN-KUANG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103472",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME103472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001467800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00787542",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUNG THURA MOE",
            "last_name": "KYAW",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.