NPIMap

Individual provider Active NPI

Peter P. Chang, MD

  • Family Medicine Physician
  • San Angelo, TX
National Provider Identifier
1780688028
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8044 Issued in TX
Practice address
303 W Harris Ave Ste 2
San Angelo, TX 76903-6377
Phone
(325) 794-5440
Fax
(325) 716-4243
NPI assigned
Jun 1, 2005
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C8044 TX
Family Medicine Physician 207Q00000X G8044 TX Primary

Addresses

Primary practice location

303 W Harris Ave Ste 2
San Angelo, TX 76903-6377

Mailing address

303 W Harris Ave Ste 2
San Angelo, TX 76903-6377
Phone (325) 794-5440

Other identifiers 1

IdentifierTypeStateIssuer
135969709MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000132 TX Practitioner - Family Practice 4789775008 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1665 Antilley Rd
Abilene, TX 79606-5264

303 W Harris Ave
Suite 2
San Angelo, TX 76903-6377
Phone (325) 437-8655

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8044TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Jul 15, 2021 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Infinitie Health LLC CurrentSince Jan 1, 2024 Accepting new patients
Ad Precision Medical PLLC CurrentSince Feb 21, 2024 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Jul 15, 2021 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
Bluebonnet Homes, Inc. Past Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Institute of Cogntive Development, Inc. Past Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients

Locations

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

9901 Valley Ranch Pkwy E
Ste 1015
Irving, TX 75063
Phone (972) 373-0303

135 Oyster Creek Dr
Ste S
Lake Jackson, TX 77566
Phone (979) 217-1789

2142 Sunset Dr
San Angelo, TX 76904
Phone (325) 245-4211

303 W Harris Ave
Ste 2
San Angelo, TX 76903
Phone (325) 437-8655

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

3535 Knickerbocker Rd
San Angelo, TX 76904
Phone (915) 947-6495

3745 Summer Crest Dr
San Angelo, TX 76901
Phone (325) 942-7700

Interoperability endpoints

  • Direct secure messaging: peter.chang.1@23308.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avir at San AngeloSan Angelo, TX, CCN 676100 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2025
Mar 1, 2025
Angels Care HospiceWichita Falls, TX, CCN 451610 Hospice Contracted Managing Employee Mar 8, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 13

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

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1780688028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W HARRIS AVE STE 2",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036377",
            "telephone_number": "325-794-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W HARRIS AVE STE 2",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036377",
            "telephone_number": "325-794-5440",
            "fax_number": "325-716-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PETER",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "C8044",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135969709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.