Individual provider Active NPI

John W. Chang, MD

  • Surgery Physician
  • Coral Gables, FL
National Provider Identifier
1720057052
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME85914 Issued in FL
Practice address
2600 S Douglas Rd
Ste 1103
Coral Gables, FL 33134-6143
Phone
(305) 446-0440
Fax
(305) 446-0431
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME85914 FL Primary

Addresses

Primary practice location

2600 S Douglas Rd
Ste 1103
Coral Gables, FL 33134-6143

Mailing address

2600 S Douglas Rd
Ste 1103
Coral Gables, FL 33134-6143
Phone (305) 446-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040901001494 FL Practitioner - General Surgery 5294700142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northwestern University Feinberg Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 S Douglas Rd
Suite 311
Coral Gables, FL 33134-6134
Phone (305) 446-0440

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85914FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soluna Aesthetic Center, PLLC CurrentSince Jun 12, 2016 Accepting new patients
Surgery Specialists of South Broward, Inc Surgery Past Accepting new patients
Surgery Specialists of South Broward, Inc Surgery Past Accepting new patients
Gabico Services Inc Past Accepting new patients
Gabico Services Inc Past Accepting new patients

Locations

4251 Salzedo St
Ste 1330
Coral Gables, FL 33146
Phone (305) 446-0440

2600 S Douglas Rd
Ste 311
Coral Gables, FL 33134
Phone (305) 446-0440

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1720057052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD",
            "address_2": "STE 1103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346143",
            "telephone_number": "305-446-0440",
            "fax_number": "305-446-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD",
            "address_2": "STE 1103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346143",
            "telephone_number": "305-446-0440",
            "fax_number": "305-446-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME85914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.