Active NPI
CHI-Kue Tony Chang, M.D.
- Internal Medicine Physician
- Bethlehem, PA
National Provider Identifier
1801825393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD047639L
- Practice address
- 3508 Nicholson Rd
Bethlehem, PA 18020 - Phone
- (484) 241-9579
- Fax
- (610) 882-3510
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD047639L | PA | Primary |
Addresses
Primary practice location
3508 Nicholson Rd
Bethlehem, PA 18020
Mailing address
3508 Nicholson Rd
Bethlehem, PA 18020
Phone (484) 241-9579
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3172646 | Other | PA | OXFORD |
| CH038530 | Other | PA | HIGHMARK BLUE SHIELD |
| 0012959950002 | Medicaid | PA | |
| 01017401/02344200 | Other | PA | CAPITAL BLUE CROSS |
| CH038530 | Other | PA | PERSONAL CHOICE |
Other names 1
- Dr. Tony Chang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220812001370 | PA | Order and Referring Only - Internal Medicine | 2961534763 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Practice of James Martin, MD, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Allentown, PA
- NPI 1184622524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1801825393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 NICHOLSON RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020",
"telephone_number": "484-241-9579",
"fax_number": "610-882-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 NICHOLSON RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020",
"telephone_number": "484-241-9579",
"fax_number": "610-882-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "CHI-KUE",
"middle_name": "TONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD047639L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3172646",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "CH038530",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012959950002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01017401/02344200",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "CH038530",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "CHANG",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.