Individual provider Active NPI

Caroline Margaret Chang, M.D.

  • Ophthalmology Physician
  • Shawnee Mission, KS
National Provider Identifier
1912936543
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-26870 Issued in KS
Practice address
8800 W 75TH St Ste 140
Shawnee Mission, KS 66204-4001
Phone
(913) 362-3210
Fax
(913) 362-0407
NPI assigned
Jul 3, 2006
Last updated
May 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 112741 MO
Ophthalmology Physician 207W00000X 04-26870 KS Primary

Addresses

Primary practice location

8800 W 75TH St Ste 140
Shawnee Mission, KS 66204-4001

Mailing address

8800 W 75TH St Ste 140
Shawnee Mission, KS 66204-4001
Phone (913) 362-3210

Other practice location 1

10985 Cody St Ste 120
Overland Park, KS 66210-1243
Phone (913) 492-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20090316000298 KS Practitioner - Ophthalmology 9638236870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10985 Cody St
Suite 120
Overland Park, KS 66210-1243
Phone (913) 492-0021

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-26870KSMDOphthalmology Physician
112741MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of America Eye Care, PA Ophthalmology CurrentSince Jan 4, 2015 Accepting new patients
Heart of America Eye Care PA Ophthalmology CurrentSince Jan 4, 2015 Accepting new patients
Heart of America Eye Care PA Ophthalmology Past Accepting new patients
Physicians' Surgery Center, LLC Past Accepting new patients

Locations

10600 Quivira Rd
Ste 460
Overland Park, KS 66215
Phone (913) 227-0565

10985 Cody St
Ste 120
Overland Park, KS 66210
Phone (913) 492-0021

8800 W 75th St
Ste 140
Shawnee Msn, KS 66204
Phone (913) 362-3210

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIDBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1912936543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST STE 140",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044001",
            "telephone_number": "913-362-3210",
            "fax_number": "913-362-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST STE 140",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044001",
            "telephone_number": "913-362-3210",
            "fax_number": "913-362-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10985 Cody St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101243",
            "country_code": "US",
            "telephone_number": "913-492-0021",
            "fax_number": "913-492-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CAROLINE",
        "middle_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "112741",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-26870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.