Individual provider Active NPI

Victor Chang, MD

  • Hematology (Internal Medicine) Physician
  • Waterbury, CT
National Provider Identifier
1760423867
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
037275 Issued in CT
Practice address
1075 Chase Parkway
Suite B
Waterbury, CT 06708
Phone
(203) 755-6311
Fax
(203) 755-6263
NPI assigned
Jun 9, 2006
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 037275 CT
Hematology (Internal Medicine) Physician 207RH0000X 037275 CT Primary

Addresses

Primary practice location

1075 Chase Parkway
Suite B
Waterbury, CT 06708

Mailing address

19 Lunar Drive
Woodbridge, CT 06525
Phone (203) 389-7504

Other identifiers 1

IdentifierTypeStateIssuer
001372755MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050623000329 CT Practitioner - HematologyPractitioner - Medical Oncology 7416992151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Medical Oncology
Education
Albany Medical College of Union University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Yale New Haven HospitalGroup PAC ID 8325935018, 44 clinicians

Practice addresses (Care Compare)

1075 Chase Park Way
Suite B
Waterbury, CT 06708-2948
Phone (203) 755-6311

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2464

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6000

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
98.16
Promoting interoperability
100
Improvement activities
40
Cost
44.02

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037275CTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Oct 25, 2011 Accepting new patients
Yale University Current Accepting new patients
Yale New Haven Hospital CurrentSince Jul 8, 2023 Accepting new patients
Yale University CurrentSince Oct 25, 2011 Accepting new patients

Locations

2080 Whitney Ave
Ste 240
Hamden, CT 06518
Phone (203) 238-7747

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

60 Temple St
New Haven, CT 06510
Phone (203) 562-7688

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

1075 Chase Pkwy
Ste B
Waterbury, CT 06708
Phone (203) 389-7504

Interoperability endpoints

  • Direct secure messaging: vchang63757@direct.ynhh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1760423867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUNAR DRIVE",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "06525",
            "telephone_number": "203-389-7504",
            "fax_number": "203-389-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CHASE PARKWAY",
            "address_2": "SUITE B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-755-6311",
            "fax_number": "203-755-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "037275",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CT",
            "license": "037275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001372755",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.