Individual provider Active NPI

Stewart Michael Chang, D.P.M.

  • Sports Medicine Podiatrist
  • Charlottesville, VA
National Provider Identifier
1780768705
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
0103300932 Issued in VA
Practice address
887 Rio East CT # a
Charlottesville, VA 22901-8004
Phone
(434) 979-8116
Fax
(434) 979-8880
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 0103300932 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 0103300932 VA
Podiatrist 213E00000X 0103300932 VA
Sports Medicine Podiatrist 213ES0000X 0103300932 VA Primary
Radiology Podiatrist 213ER0200X 0103300932 VA
Foot Surgery Podiatrist 213ES0131X 0103300932 VA

Addresses

Primary practice location

887 Rio East CT # a
Charlottesville, VA 22901-8004

Mailing address

3075 Clear Springs CT
Charlottesville, VA 22911-7219
Phone (434) 974-7077

Other identifiers 9

IdentifierTypeStateIssuer
179774OtherVAANTHEM - W'BORO OFFICE
2132454OtherVAMAMSI
6661192OtherVACIGNA
010193133MedicaidVA
2132454OtherVAALLIANCE
306352OtherVASOUTHERN HEALTH
010151503MedicaidVA
179769OtherVAANTHEM - C'VILLE OFFICE
7412732OtherVAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000431 VA Practitioner - Podiatry 9133163363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

887 A Rio E CT
Charlottesville, VA 22901-8004
Phone (434) 979-8116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue2948
Removal or shaving of skin growth1409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Apr 1, 2017 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Apr 1, 2017 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist Past Accepting new patients

Locations

1600 E Gude Dr
Ste 200
Rockville, MD 20850

887A Rio East Ct
Charlottesvle, VA 22901
Phone (434) 979-8116

2050 Abbey Rd
Ste C
Charlottesvle, VA 22911
Phone (434) 295-4443

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

Interoperability endpoints

  • Direct secure messaging: schang571383@direct.healthsystem.virginia.edu

Organizations & group practices 3

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 2

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1780768705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 CLEAR SPRINGS CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117219",
            "telephone_number": "434-974-7077",
            "fax_number": "434-979-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 RIO EAST CT # A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018004",
            "telephone_number": "434-979-8116",
            "fax_number": "434-979-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "STEWART",
        "middle_name": "MICHAEL",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103300932",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300932",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300932",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "VA",
            "license": "0103300932",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "VA",
            "license": "0103300932",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103300932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - W'BORO OFFICE",
            "identifier": "179774",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2132454",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6661192",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010193133",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "2132454",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "306352",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010151503",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - C'VILLE OFFICE",
            "identifier": "179769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7412732",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.