Individual provider Active NPI

Elaine Yi-Lien Chang, MD

  • Obstetrics & Gynecology Physician
  • Des Moines, WA
National Provider Identifier
1720020654
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00036545 Issued in WA
Practice address
22506 Marine View Dr S
Suite 101
Des Moines, WA 98198-6906
Phone
(206) 212-6906
Fax
(206) 249-8203
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00036545 WA Primary

Addresses

Primary practice location

22506 Marine View Dr S
Suite 101
Des Moines, WA 98198-6906

Mailing address

22506 Marine View Dr S
Suite 101
Des Moines, WA 98198-6906
Phone (206) 212-6909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20060307000291 WA Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 5092722686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

205 10TH St NE
Suite 200
Des Moines, WA 98198-6233
Phone (206) 592-5940

22000 Marine View Dr S
Suite 100
Des Moines, WA 98198-6233
Phone (206) 870-4460

34503 9TH Ave S
Federal Way, WA 98003-8726

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00036545WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Nov 17, 2014 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Past Accepting new patients
Highline Medical Group Inc Obstetrics & Gynecology Past Accepting new patients

Locations

22000 Marine View Dr S
Ste 100
Des Moines, WA 98198
Phone (206) 592-5960

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

13030 Military Rd S
Ste 210
Tukwila, WA 98168
Phone (206) 242-6500

Interoperability endpoints

  • Direct secure messaging: echang59074@fhsce.catholichealth.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1720020654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22506 MARINE VIEW DR S",
            "address_2": "SUITE 101",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986906",
            "telephone_number": "206-212-6909",
            "fax_number": "206-249-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22506 MARINE VIEW DR S",
            "address_2": "SUITE 101",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986906",
            "telephone_number": "206-212-6906",
            "fax_number": "206-249-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ELAINE",
        "middle_name": "YI-LIEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00036545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.