Active NPI
Eduardo Enrique Chang
- Pulmonary Disease Physician
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD.022572
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A679390 | Medicaid | CA |
Other names 1
- Eduardo Enrique Chang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7000
Hospital & facility affiliations
- Union Hospital Inc
- Union Hospital Clinton
- Sullivan County Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67939 | CA | MD | Allergy & Immunology (Internal Medicine) Physician |
| L0073 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Select Specialty Hospital - Evansville LLC | Current | Accepting new patients | |
| Select Specialty Hospital - Evansville, LLC | Current | Accepting new patients | |
| Union Associated Physicians Clinic LLC | Current | Accepting new patients | |
| Vituity - Indiana Critical Care PC | Critical Care Medicine | Current | Accepting new patients |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Union Associated Physicians Clinic, LLC | Current | Accepting new patients | |
| Cep America - Intensivists PC | Critical Care Medicine | Current | 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
- echang@unionhealth.cernerdirect.com
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Terre Haute, IN
- NPI 1356922397
-
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1407234057
-
- Long Term Care Hospital
- Evansville, IN
- NPI 1750380739
-
- Critical Care Medicine (Internal Medicine) Physician
- Germantown, MD
- NPI 1194615310
-
- Critical Care Medicine (Internal Medicine) Physician
- Sacramento, CA
- NPI 1215577291
-
- Hospitalist Physician
- Evansville, IN
- NPI 1104194547
-
- Dermatology Physician
- Terre Haute, IN
- NPI 1407404940
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1891028379
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Critical Care Medicine (Internal Medicine) Physician
- Fresno, CA
- NPI 1770642639
-
- Critical Care Medicine (Internal Medicine) Physician
- Fresno, CA
- NPI 1497951974
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
- Critical Access Hospital
- Sullivan, IN
- NPI 1497759260
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
-
- Critical Access Hospital
- Clinton, IN
- NPI 1306844519
-
- General Acute Care Hospital
- Clinton, IN
- NPI 1093713802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.