Active NPI
Shirley S. Chang, M.D.
- Nephrology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 236591
- Practice address
- 462 Grider St
Buffalo, NY 14215-3021 - Phone
- (716) 898-3000
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 042.0012325 | VT | |
| Nephrology Physician | 207RN0300X | 236591 | NY | Primary |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3021
Mailing address
908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02669469 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Pittsburgh School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Hospital & facility affiliations
- Erie County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 80.2
- Improvement activities
- 40
- Cost
- 72.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0012325 | VT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| Academic Medicine Services, Inc. | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Past | Accepting new patients | |
| University at Buffalo Surgeons Inc | Past | Accepting new patients |
Locations
462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803
77 Goodell St
Ste 320
Buffalo, NY 14203
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
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.
-
- Clinic/Center
- Buffalo, NY
- NPI 1528233616
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1922768621
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
-
- Surgery Physician
- Buffalo, NY
- NPI 1508898305
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1720063753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD STE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-3302",
"fax_number": "716-213-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SHIRLEY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VT",
"license": "042.0012325",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "236591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02669469",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.