Matthew Y Chang, MD
Individual provider Active NPI Neurological Surgery Physician · Honolulu, HI
NPI 1750368205 · NPPES record last updated Jul 2, 2021
Key facts
- NPI
- 1750368205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- MD-16523 (HI)
- Practice address
- 3288 Moanalua Rd
Honolulu, HI 96819-1469 - Phone
- (808) 432-0000
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hawaii Permanente Medical Group Inc
Practice addresses (Care Compare)
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000
Hospital & facility affiliations
- Kaiser Foundation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120823000934 | HI | Practitioner - Neurosurgery | 5496785123 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237521 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Permanente Medical Group Inc | Current |
Accepting new patients |
Locations
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD-16523 | HI | Yes |
| Neurological Surgery Physician | 207T00000X | 0101237521 | VA |
Addresses
Primary practice location
3288 Moanalua Rd
Honolulu, HI 96819-1469
Mailing address
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750368205 | Medicaid | VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Honolulu, HI
- Laura K Chang
- Linda Chang
- Malcom H.M. Chang
- Malia Chang
- Marina Chang
- Mika Mailani Chang
- Monica Chang
- Nai-Wen Chang
- Patrick John Kong Chang
- Paxon Chang
All providers in Honolulu, HI · Neurological Surgery Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.