Individual provider Active NPI

Shih-Wen Chang, MD

  • Pulmonary Disease Physician
  • West Allis, WI
National Provider Identifier
1629084579
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
33934-20 Issued in WI
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1629084579MedicaidWI
1932049OtherILBLUE CROSS IL

Electronic endpoints 4

TypeEndpointUseAffiliation
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, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050318000535 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6608821921 Reassigns benefits to 3 organizations
I20210505000783 WI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6608821921 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

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

LicenseStateTypeSpecialty
33943-20WIMDCritical Care Medicine (Internal Medicine) Physician
33934-20WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Pulmonary Disease CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 1, 2023 Accepting new patients
Decatur Memorial Hospital Critical Care Medicine CurrentSince Aug 2, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 12, 2024 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Decatur Memorial Hospital CurrentSince Aug 2, 2021 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 12, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 17, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 17, 2024 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.

View all 14

Hospital & facility affiliations 16

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

View all 16

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

Sources for this page

Verify at the official NPI Registry.