Willis Chang, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

17812 Issued in NV

Practice address

3186 S Maryland Pkwy
Las Vegas, NV 89109

Phone

(702) 961-7800

NPI assigned

May 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Emergency Medicine

Education

Wayne State University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fremont Emergency Services Scherr LTDGroup PAC ID 4880684554, 135 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
• West Henderson Hospital Hospital, Henderson, NV, CCN 290062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fremont Emergency Services Scherr LTD

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1679550149

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Edwards MD PC

  • Emergency Medicine Physician
  • Henderson, NV
  • NPI 1902642994

  Single Specialty

  Medicare reassignment NPD
• Fremont Emergency Services Scherr LTD

  • Emergency Medicine Physician
  • North Las Vegas, NV
  • NPI 1316488141

  Single Specialty

  NPD
• Fremont Emergency Services Scherr LTD

  • Emergency Medicine Physician
  • Henderson, NV
  • NPI 1689013161

  Single Specialty

  NPD
• Fremont Emergency Services Scherr LTD

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1366429821

  Single Specialty

  NPD (past)

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

• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation
• West Henderson Hospital Medical Center LLC

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1962181172
  Care Compare affiliation

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1609253103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-961-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "17812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Mirie Chang
• Tony Chang
• Tricia Asuka Chang, OTD, OTR/L
• Troy Hajin Chang, O.D.
• Valerie Li-Jiun Chang, PA-C
• Yong Il Chang
• Yuchi Chang
• Nisarg J Changawala, MD
• Catherine Changco
• Change Agents of Social Services

• Emergency Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Emergency Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.