Roger Kai-Di Chang, M.D.
Individual provider Active NPI Family Medicine Physician · Batavia, OH
NPI 1891775250 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1891775250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38086413 (OH)
- Practice address
- 2055 Hospital Drive
Suite 130
Batavia, OH 45103-1946 - Phone
- (513) 732-0870
- Fax
- (513) 732-0873
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 36
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthsource of Ohio Inc
Practice addresses (Care Compare)
1108 Northview Dr
Suite 1
Hillsboro, OH 45133-1191
Phone (937) 393-5781
Hospital & facility affiliations
- Small Town Home Health Solutions, Inc
- American Mercy Home Care, LLC
- Mercy Health - Clermont Hospital
- Mercy Health-Anderson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050705000811 | OH | Practitioner - Family Practice | 2466498027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38086413 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthsource of Ohio, Inc. | Current |
Accepting new patients | |
| Healthsource of Ohio, Inc. | Family Medicine | Current | Accepting new patients |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio Inc | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio Inc | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current |
Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio Inc | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Current | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients | |
| Healthsource of Ohio, Inc. | Past | Accepting new patients | |
| Cincinnati Health Care Group PSC | Past | Accepting new patients | |
| Arbor View | Past | Accepting new patients |
Locations
2055 Hospital Dr
Ste 130
Batavia, OH 45103
Phone (513) 732-0700
631 E State St
Georgetown, OH 45121
Phone (937) 378-6387
1108 Northview Dr
Ste 1
Hillsboro, OH 45133
Phone (937) 393-5781
424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041
150 Health Partners Cir
Mount Orab, OH 45154
Phone (937) 444-2514
6131 Campus Ln
Mt Washington, OH 45230
Phone (513) 732-5088
100 River Valley Blvd
New Richmond, OH 45157
Phone (513) 553-3114
308 Highland Ave
#H
Washington Court House, OH 43160
Phone (740) 335-8608
308 Highland Ave
Washington Court House, OH 43160
Phone (740) 335-2271
Interoperability endpoints
- roger.changmd.p1@direct.hsohio.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38086413 | OH | Yes |
Addresses
Primary practice location
2055 Hospital Drive
Suite 130
Batavia, OH 45103-1946
Mailing address
424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2272535 | Medicaid | OH |
Other providers in Batavia, OH
- Angela Carlson
- James Cavana
- Toni Cave
- Center for Physical Therapy
- Central Joint Fire-EMS District
- Sarah Chapman
- Thomas Edgar Charlton
- Sonja H. Cheatham
- Chirocomp LLC
- Lauren Christensen
All providers in Batavia, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.