Individual provider Active NPI

Ronald Chang, MD

  • Vascular Surgery Physician
  • Pasadena, TX
National Provider Identifier
1639411150
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
Q4571 Issued in TX
Practice address
4301 Vista Rd
Pasadena, TX 77504-2117
Phone
(832) 781-0000
Fax
(832) 781-1000
NPI assigned
Mar 22, 2013
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X Q4571 TX Primary

Addresses

Primary practice location

4301 Vista Rd
Pasadena, TX 77504-2117

Mailing address

4301 Vista Rd
Pasadena, TX 77504-2117
Phone (832) 781-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241130000145 TX Practitioner - Vascular Surgery 9830514348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Washington University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians
1960 Physician AssociatesGroup PAC ID 1153611975, 19 clinicians

Practice addresses (Care Compare)

4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone (713) 795-4884

837 Cypress Creek Pkwy
Suite 105
Houston, TX 77090-3422
Phone (281) 586-3888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgeons & Physicians Network, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Home Dialysis of Illinois LLC PastSince Nov 30, 2023 Accepting new patients

Locations

4140 Southwest Fwy
Houston, TX 77027
Phone (713) 650-1900

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

201 Kingwood Medical Dr
Ste A300
Kingwood, TX 77339
Phone (281) 973-1564

Interoperability endpoints

  • Direct secure messaging: ronald.chang.1@13131.direct.athenahealth.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 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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1639411150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "832-781-0000",
            "fax_number": "832-781-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "832-781-0000",
            "fax_number": "832-781-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "Q4571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.