Individual provider Active NPI

Eduardo Enrique Chang

  • Pulmonary Disease Physician
  • The Woodlands, TX
National Provider Identifier
1689683153
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD.022572 Issued in LA
Practice address
3115 College Park Dr Ste 110
The Woodlands, TX 77384-4001
Phone
(936) 447-9352
Fax
(936) 447-9354
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01081155A IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A67939 CA
Allergy & Immunology (Internal Medicine) Physician 207RA0201X A67939 CA
Pulmonary Disease Physician 207RP1001X L0073 TX
Pulmonary Disease Physician 207RP1001X A67939 CA
Pulmonary Disease Physician 207RP1001X MD.022572 LA Primary

Addresses

Primary practice location

3115 College Park Dr Ste 110
The Woodlands, TX 77384-4001

Mailing address

3115 College Park Dr
Ste. 110
The Woodlands, TX 77384-4000
Phone (936) 447-9352

Other practice location 1

11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 46845-0025
Phone (260) 266-5260

Other identifiers 1

IdentifierTypeStateIssuer
00A679390MedicaidCA

Other names 1

  • Eduardo Enrique Chang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN2 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
I20040225001256 CA Practitioner - Critical Care (Intensivists)Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pulmonary Disease 8820984891 Reassigns benefits to 1 organization
I20181031000672 IN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8820984891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Indiana Critical Care PCGroup PAC ID 2163824558, 6 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7000

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326
  • Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67939CAMDAllergy & Immunology (Internal Medicine) Physician
L0073TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Apr 28, 2020 Accepting new patients
Select Specialty Hospital - Evansville LLC Current Accepting new patients
Select Specialty Hospital - Evansville, LLC CurrentSince Jun 29, 2020 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Jul 9, 2020 Accepting new patients
Vituity - Indiana Critical Care PC Critical Care Medicine CurrentSince Jul 13, 2021 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Current Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Jul 9, 2020 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Apr 28, 2020 Accepting new patients
Union Hospital Inc. Current Accepting new patients
John Roper MD, Inc Critical Care Medicine Past Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Pardeep S. Bhullar MD, Inc Critical Care Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

400 SE 4th St
Evansville, IN 47713
Phone (812) 421-2312

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

Interoperability endpoints

  • Direct secure messaging: echang@unionhealth.cernerdirect.com
  • Direct secure messaging: echang113018@directhoustonmethodist.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 7

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1689683153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "STE. 110",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "936-447-9352",
            "fax_number": "936-447-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR STE 110",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-447-9352",
            "fax_number": "936-447-9354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11104 Parkview Circle Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468450025",
            "country_code": "US",
            "telephone_number": "260-266-5260",
            "fax_number": "260-266-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EDUARDO",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01081155A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A67939",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A67939",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L0073",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A67939",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "MD.022572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A679390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDUARDO",
            "last_name": "CHANG",
            "middle_name": "ENRIQUE",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.