Active NPI
Paul P Chiang, MD
- Geriatric Medicine (Internal Medicine) Physician
- Wheaton, IL
National Provider Identifier
1902831696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 036091803
- Practice address
- 1800 N Main St
Second Floor
Wheaton, IL 60187-3112 - Phone
- (630) 614-4960
- Fax
- (630) 682-3727
- NPI assigned
- Jul 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036091803 | IL | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 036091803 | IL | Primary |
Addresses
Primary practice location
1800 N Main St
Second Floor
Wheaton, IL 60187-3112
Mailing address
1800 N Main St
Second Floor
Wheaton, IL 60187-3112
Phone (630) 614-4960
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363149833 | Other | IL | TAX IDENTIFICATION NUMBER |
| 3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
| 0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 56.32 of 100
- Quality
- 30.08
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036091803 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1902831696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N MAIN ST",
"address_2": "SECOND FLOOR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873112",
"telephone_number": "630-614-4960",
"fax_number": "630-682-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N MAIN ST",
"address_2": "SECOND FLOOR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873112",
"telephone_number": "630-614-4960",
"fax_number": "630-682-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIANG",
"first_name": "PAUL",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036091803",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IL",
"license": "036091803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "363149833",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPG HFS PAYEE ID",
"identifier": "3631498336019001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "0222075",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
- Dorothy Chemler, RN
- Michael Bryan Cheng, D.D.S.
- Margo Cherrie
- Cherubim Developmental Training Program
- Neetu Chhablani, M.D.
- Chicago Dental Society Foundation
- Chicago Pelvic Health and Wellness, LLC
- Chicago Wisdom Teeth, PLLC (Wisdom Teeth Guys)
- Chicagoland Hearing, Inc. (Chicagoland Audibel)
- Takiyah A Childress
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.