Individual provider Active NPI

John Kingsley Chang, M.D

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1720063852
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-12144 Issued in HI
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 41

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 41

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger Clinic 3,432 clinicians
South Jersey Radiology Associates P a 202 clinicians
Red River Consultants Inc 56 clinicians
Radiology Alliance PC 449 clinicians
Virtual Radiologic Professionals LLC 392 clinicians
Englewood Radiologic Group P a 131 clinicians
Merrimack Radiology-Cra LLC 60 clinicians
Memphis Physicians Radiological Group PC 79 clinicians

Practice addresses (Care Compare)

Honolulu, HI 96821
Phone (570) 214-9907

1079 Ikena Cir
Honolulu, HI 96821-2557
Phone (318) 212-4550

400 Fellowship Rd
Suite 200
Mount Laurel, NJ 08054-3437

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI, ME, VT, SC5 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.

Medicare enrollment records 5

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20051103001086 TX Practitioner - Diagnostic Radiology 0042248486 Reassigns benefits to 1 organization
I20061023000289 HI Practitioner - Diagnostic Radiology 0042248486 Reassigns benefits to 16 organizations
I20150922003058 ME Practitioner - Diagnostic Radiology 0042248486 Reassigns benefits to 2 organizations
I20190610001978 VT Practitioner - Diagnostic Radiology 0042248486 Reassigns benefits to 2 organizations
I20260313003646 SC Practitioner - Diagnostic Radiology 0042248486 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-12144HIMDDiagnostic Radiology Physician
042-0010898VTMDDiagnostic Radiology Physician

Practice roles (31 of 35)

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Mar 31, 2025 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Carlos G. Otis Health Care Center Inc. CurrentSince Oct 14, 2025 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 24, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 15, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 29, 2019 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Sep 26, 2025 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jul 2, 2024 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Sep 1, 2005 Accepting new patients
Houlton Regional Hospital CurrentSince Mar 18, 2019 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince May 20, 2019 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Allendale County Hospital Board CurrentSince Feb 3, 2026 Accepting new patients
Allendale County Hospital Board CurrentSince Feb 3, 2026 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 28, 2025 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Warren General Hospital CurrentSince Dec 1, 2024 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince May 20, 2019 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 29, 2019 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Sep 29, 2017 Accepting new patients
Houlton Regional Hospital CurrentSince Mar 18, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Lufkin Radiology Associates Diagnostic Radiology Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Maverick County Rural Radiologists P a Diagnostic Radiology Past Accepting new patients
Tulane University Medical Group Past Accepting new patients

Locations (25 of 56)

701 Ilalo St
Honolulu, HI 96813
Phone (808) 586-5854

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

350 Main St
Fl 4
Malden, MA 02148

10 Little Brook Rd
West Wareham, MA 02576

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

1787 Allendale Fairfax Hwy
Fairfax, SC 29827
Phone (803) 632-3311

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jchang@direct.mhg.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD425806 PA
Diagnostic Radiology Physician 2085R0202X MD-12144 HI Primary
Diagnostic Radiology Physician 2085R0202X 042-0010898 VT

Addresses

NPPES NPI Registry

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2026.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1720063852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JOHN",
        "middle_name": "KINGSLEY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD425806",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD-12144",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0010898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.