Individual provider Active NPI

Young Chang, MD

  • Internal Medicine Physician
  • Tamuning, GU
National Provider Identifier
1639218290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1121 Issued in GU
Practice address
416 Chalan San Antonio Rd
Good Samaritan Clinic
Tamuning, GU 96913-2635
Phone
(671) 646-2984
Fax
(671) 646-4688
NPI assigned
Feb 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1121 GU Primary

Addresses

Primary practice location

416 Chalan San Antonio Rd
Good Samaritan Clinic
Tamuning, GU 96913-2635

Mailing address

PO Box 6515
Tamuning, GU 96931-2635
Phone (671) 646-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20040316000581 GU Practitioner - Internal Medicine 0042100927 Reassigns benefits to 1 organization
Practice locations: Tamuning, GU

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

353 Chalan San Antonio
Tamuning, GU 96913-3300
Phone (671) 646-2984

850 Gov Carlos Camacho Rd
Tamuning, GU 96913-3128

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.11

National Provider Directory

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

Organizations & group practices 1

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 3

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639218290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6515",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969312635",
            "telephone_number": "671-646-2984",
            "fax_number": "671-646-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CHALAN SAN ANTONIO RD",
            "address_2": "GOOD SAMARITAN CLINIC",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969132635",
            "telephone_number": "671-646-2984",
            "fax_number": "671-646-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M1121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.