Individual provider Active NPI

Roberto Daniel Chang, M.D.

  • Interventional Pain Medicine Physician
  • Hoover, AL
National Provider Identifier
1669608923
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
33173 Issued in AL
Practice address
4515 Southlake Pkwy Ste 200
Hoover, AL 35244-3319
Phone
(205) 313-7246
Fax
(205) 939-1911
NPI assigned
Jun 1, 2009
Last updated
Oct 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 33173 AL
Interventional Pain Medicine Physician 208VP0014X 33173 AL Primary

Addresses

Primary practice location

4515 Southlake Pkwy Ste 200
Hoover, AL 35244-3319

Mailing address

4515 Southlake Pkwy
Suite 200
Hoover, AL 35244-3319
Phone (205) 313-7246

Other names 1

  • Dr. R. Daniel Chang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20140721000928 AL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 5991921389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
State University of New York Downstate Medical Center, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Pain Center Inc.Group PAC ID 3678522521, 4 clinicians

Practice addresses (Care Compare)

4515 Southlake Pkwy
Suite 200
Hoover, AL 35244-3319
Phone (205) 313-7246

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as individual
Quality
78.51
Promoting interoperability
99
Improvement activities
40
Cost
77.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33173ALMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia & Pain Medicine, P.C. Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Birmingham Pain Center Inc. Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients
The Birmingham Pain Center Inc CurrentSince Jul 1, 2014 Accepting new patients

Locations

7500 Hugh Daniel Dr
Ste 300
Birmingham, AL 35242
Phone (205) 313-7246

2621 19th St S
Homewood, AL 35209
Phone (205) 271-8019

4515 Southlake Pkwy
Ste 200
Hoover, AL 35244
Phone (205) 313-7246

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12861/brand/1/csg/1/fhir/r4
  • Direct secure messaging: roberto.chang.1@12861.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.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1669608923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SOUTHLAKE PKWY",
            "address_2": "SUITE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443319",
            "telephone_number": "205-313-7246",
            "fax_number": "205-939-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SOUTHLAKE PKWY STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443319",
            "telephone_number": "205-313-7246",
            "fax_number": "205-939-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ROBERTO",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "33173",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "33173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R. DANIEL",
            "last_name": "CHANG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.