Active NPI
Nicole Chai Sia Chang, MD
- Internal Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.155352
- Practice address
- 410 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 293-5123
- Fax
- (614) 293-4890
- NPI assigned
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.155352 | OH | Primary |
| Pediatrics Physician | 208000000X | 35.155352 | OH |
Addresses
Primary practice location
410 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-5123
Other practice location 1
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 2
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-2000
Other practice location 3
2599 S Hamilton Rd
Columbus, OH 43232-4964
Phone (614) 722-2000
Other practice location 4
2857 W Broad St
Columbus, OH 43204-2643
Phone (614) 722-2000
Other practice location 5
4766 W Broad St
Columbus, OH 43228-1613
Phone (614) 722-2000
Other practice location 6
433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 722-2000
Other practice location 7
5070 N High St
Columbus, OH 43214-1526
Phone (614) 722-2000
Other practice location 8
1657 Georgesville Square Dr
Columbus, OH 43228-3689
Phone (614) 722-2000
Other practice location 9
882 S Hamilton Rd
Columbus, OH 43213-3003
Phone (614) 722-2000
Other practice location 10
1125 E Main St
Columbus, OH 43205-1931
Phone (614) 722-2000
Other practice location 11
3553 Cleveland Ave
Columbus, OH 43224-2909
Phone (614) 722-2000
Other practice location 12
26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2000
Other practice location 13
1390 Cleveland Ave
Columbus, OH 43211-2767
Phone (614) 722-2000
Other practice location 14
4560 Morse Centre Rd
Columbus, OH 43229-6602
Phone (614) 722-2000
Other practice location 15
1405 S High St
Columbus, OH 43207-1043
Phone (614) 722-2000
Other practice location 16
1777 E Dublin Granville Rd
Columbus, OH 43229-3502
Phone (614) 722-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0488674 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20260518003120 | OH | Practitioner - Internal Medicine | 3971981648 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Ackerman Rd
Columbus, OH 43202-1500
700 Childrens Dr
Columbus, OH 43205-2664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.155352 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Children'S Hospital | Past | Accepting new patients | |
| Nationwide Children'S Hospital | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1861141178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-5123",
"fax_number": "614-293-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-5123",
"fax_number": "614-293-4890"
}
],
"practiceLocations": [
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "380 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432157508",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2599 S Hamilton Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432324964",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2857 W Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432042643",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4766 W Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432281613",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "433 N Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430828095",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5070 N High St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432141526",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1657 Georgesville Square Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432283689",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "882 S Hamilton Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432133003",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 E Main St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432051931",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3553 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432242909",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457012471",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1390 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432112767",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4560 Morse Centre Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432296602",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 S High St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432071043",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1777 E Dublin Granville Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432293502",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "NICOLE",
"middle_name": "CHAI SIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.155352",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.155352",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0488674",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.