Warren Jeffrey Chang, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

IN01052241 Issued in IN

Practice address

1011 W 2ND St
Bloomington, IN 47403-2216

Phone

(812) 334-1213

Fax

(812) 333-5039

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Harvard Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integ Health System PCGroup PAC ID 8921035676, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monroe Hospital Hospital, Bloomington, IN, CCN 150183

Merit-based Incentive Payment System (MIPS)

Final score

86.74 of 100Reported as group

Quality

83.76

Improvement activities

40

Cost

77.44

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/medflow_integ_health_systems

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.

• Integ Health System, P.C.

  • Ophthalmology Physician
  • Bloomington, IN
  • NPI 1215919105
  Medicare reassignment Care Compare group NPD
• Integ Health System, P.C.

  • Ambulatory Surgical Clinic/Center
  • Bloomington, IN
  • NPI 1013999580
  NPD
• Mercer Eye Associates PA

  • Eyewear Supplier
  • Lawrenceville, NJ
  • NPI 1245409945

  Ophthalmology

  NPD (past)
• Mercer Eye Associates PA

  • Specialist
  • Lawrenceville, NJ
  • NPI 1609821487
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - Monroe LLC

  • General Acute Care Hospital
  • Bloomington, IN
  • NPI 1740686443
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1902888662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032216",
            "telephone_number": "812-334-1213",
            "fax_number": "812-333-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032216",
            "telephone_number": "812-334-1213",
            "fax_number": "812-333-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WARREN",
        "middle_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "IN01052241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200257620A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Renee Chandler
• Corie R Chaney, NP
• Samantha Chaney
• Zachary B Chaney
• Colin E. Chang, M.D.
• Nicole Tien Chao, MD
• Morgan Leigh Chapa, RN
• Julie Chapin, PH.D, HSPP
• David Khalil Chapman, RBT
• Joshua Allan Chapman, DDS, MSD

• Ophthalmology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.

Verify at the official NPI Registry.