Individual provider Active NPI

Eric Chang, MD

  • Specialist
  • Columbia, MD
National Provider Identifier
1760484398
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0062685 Issued in MD
Practice address
8860 Columbia 100 Pkwy Ste 314
Columbia, MD 21045-2298
Phone
(410) 740-9330
Fax
(410) 740-9335
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X D62685 MD
Specialist 174400000X D0062685 MD Primary

Addresses

Primary practice location

8860 Columbia 100 Pkwy Ste 314
Columbia, MD 21045-2298

Mailing address

8860 Columbia 100 Pkwy Ste 314
Columbia, MD 21045-2298
Phone (410) 740-9330

Other identifiers 1

IdentifierTypeStateIssuer
7990899OtherAETNA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050728000924 MD Practitioner - Plastic and Reconstructive Surgery 6608804950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Missouri, Columbia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Aesthetic Plastic SurgeryGroup PAC ID 0648273136, 3 clinicians

Practice addresses (Care Compare)

8860 Columbia 100 Pkwy
Suite 314
Columbia, MD 21045-2298
Phone (410) 740-9330

Hospital & facility affiliations

  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062685MDMDSpecialist
D62685MDMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Aesthetic Surgery Center LLC CurrentSince Jun 1, 2021 Accepting new patients
Columbia Aesthetic Plastic Surgery Plastic and Reconstructive Surgery CurrentSince Oct 1, 2006 Accepting new patients
Howard County Foot & Ankle PastSince Mar 4, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8860 Columbia 100 Pkwy
Ste 314
Columbia, MD 21045
Phone (410) 740-9330

8860 Columbia 100 Pkwy
Ste 206
Columbia, MD 21045
Phone (410) 405-7444

Interoperability endpoints

  • Direct secure messaging: echang20633@direct.umm.edu
  • FHIR API: https://api.platform.athenahealth.com/23710/brand/1/csg/1/fhir/r4
  • Direct secure messaging: echang@directaddress.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1760484398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 314",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452298",
            "telephone_number": "410-740-9330",
            "fax_number": "410-740-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 314",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452298",
            "telephone_number": "410-740-9330",
            "fax_number": "410-740-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D62685",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0062685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7990899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.