Active NPI
Shih-Wen Chang, MD
- Pulmonary Disease Physician
- West Allis, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 33934-20
- Practice address
- 2424 S 90TH St FL 3
West Allis, WI 53227-2455 - Phone
- (414) 328-8150
- NPI assigned
- Jul 31, 2006
- Last updated
- Dec 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 33943-20 | WI | |
| Pulmonary Disease Physician | 207RP1001X | 036063279 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 33934-20 | WI | Primary |
Addresses
Primary practice location
2424 S 90TH St FL 3
West Allis, WI 53227-2455
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
520 Katherine Cir
Dekalb, IL 60115-8233
Phone (815) 895-0555
Other practice location 2
3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000
Other practice location 3
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629084579 | Medicaid | WI | |
| 1932049 | Other | IL | BLUE CROSS IL |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | schung394275@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | schung394275@direct-ehr-ssmh.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
221 NE Glen Oak Ave
Peoria, IL 61636-0001
2424 S 90TH St
West Allis, WI 53227-2455
Phone (414) 328-8630
425 Pine Ridge Blvd
Suite 305
Wausau, WI 54401-4124
Phone (715) 847-2480
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
900 Main St
Suite 630
Peoria, IL 61602-5024
Phone (309) 672-4433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33943-20 | WI | MD | Critical Care Medicine (Internal Medicine) Physician |
| 33934-20 | WI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Medical Group | Pulmonary Disease | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Decatur Memorial Hospital | Critical Care Medicine | Current | Accepting new patients |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
302 W Hay St
Ste 110
Decatur, IL 62526
Phone (217) 876-4200
302 W Hay St
Ste LL110
Decatur, IL 62526
Phone (217) 872-7000
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
815 Main St
Ste A1
Peoria, IL 61602
900 Main St
Ste 630
Peoria, IL 61602
Phone (309) 627-4433
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
425 Pine Ridge Blvd
Ste 305
Wausau, WI 54401
Phone (715) 847-2480
2424 S 90th St
West Allis, WI 53227
Phone (414) 321-2255
2424 S 90th St
Fl 3
West Allis, WI 53227
Phone (414) 328-8150
Organizations & group practices 14
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.
-
dba Ascension Medical Group
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Pulmonary Disease
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1164477725
Critical Care Medicine
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
dba Aspirus Pulmonary and Critical Care
- Clinic/Center
- Wausau, WI
- NPI 1174601876
-
dba Aspirus Palliative Medicine- Wisconsin
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
dba Aspirus Edgar Clinic
- Clinic/Center
- Edgar, WI
- NPI 1447580725
Hospital
-
dba Aspirus Dermatology Clinic
- Dermatology Physician
- Wausau, WI
- NPI 1477883759
Hospital
-
dba Aspirus Imaging - Westwood
- Radiology Clinic/Center
- Wausau, WI
- NPI 1780014407
Hospital
-
dba Aspirus Outpatient Therapies - Pediatrics
- Rehabilitation Clinic/Center
- Wausau, WI
- NPI 1083955165
Hospital
-
dba Aspirus Plover Clinic
- Family Medicine Physician
- Stevens Point, WI
- NPI 1275886749
Hospital
-
dba Aspirus Regional Cancer Center
- Clinic/Center
- Wausau, WI
- NPI 1356576490
Hospital
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
dba Aspirus Plover Hospital
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
-
dba Aspirus Infectious Disease
- Clinic/Center
- Wausau, WI
- NPI 1952921405
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1629084579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250",
"fax_number": "815-895-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 S 90TH ST FL 3",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272455",
"telephone_number": "414-328-8150"
}
],
"practiceLocations": [
{
"address_1": "520 Katherine Cir",
"address_purpose": "LOCATION",
"city": "Dekalb",
"state": "IL",
"postal_code": "601158233",
"country_code": "US",
"telephone_number": "815-895-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 E Racine St",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535462343",
"country_code": "US",
"telephone_number": "608-371-8000",
"fax_number": "608-371-8941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Park St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-251-6100",
"fax_number": "608-260-2951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "SHIH-WEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WI",
"license": "33943-20",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036063279",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WI",
"license": "33934-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629084579",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS IL",
"identifier": "1932049",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "schung394275@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "schung394275@direct-ehr-ssmhc.com",
"address_1": "3200 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462343",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3200 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462343",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "schung394275@direct-ehr-ssmh.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "schung394275@direct-ehr-ssmh.com",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Allis, WI
- Centerwell Certified Healthcare Corp. (CenterWell Home Health)
- Shilpa Chaku, D.O.
- Sydney Champion, SLP
- Kanush Kumar Chand, DDS
- Danra Chang, PTA
- Jamie Hsien-Chin Chao, MD
- Rachel Chariton, OTR/L
- Abel Chinos, MD
- Chiropractic Associates, S.C.
- Chiropractic Company - West Allis East LTD (Chiropractic Company)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.