Carlos F Chang, M.D.
Individual provider Active NPI Internal Medicine Physician · Tavares, FL
NPI 1922005016 · NPPES record last updated Mar 13, 2015
Key facts
- NPI
- 1922005016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME71903 (FL)
- Practice address
- 1862 Mayo Drive
Tavares, FL 32778 - Phone
- (352) 343-0053
- Fax
- (352) 343-0059
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 26
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora Health Services Inc
Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 253-3333
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
1200 Lexington Green LN
Sanford, FL 32771-1013
1862 Mayo Dr
Tavares, FL 32778-4320
Phone (352) 343-0053
Hospital & facility affiliations
- Adventhealth Home Health
- Pinnacle Home Care of the Villages Inc
- HCA Florida Healthcare at Home
- Waterman Village Home Care
- Concierge Home Care
- Vitas Healthcare Corporation of Florida
- Adventhealth Waterman
- Adventhealth Daytona Beach
- Adventhealth Orlando
- Solaris Healthcare Waterman
- Edgewater at Waterman Village
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20041027000640 | FL | Practitioner - Internal Medicine | 4981665684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME71903 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos Chang MD PA | Internal Medicine | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Inphynet Contracting Services LLC | Past | Accepting new patients |
Locations
1862 Mayo Dr
Tavares, FL 32778
Phone (352) 343-0053
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Interoperability endpoints
- cchang@carloschangmd.amazing-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME71903 | FL | Yes |
Addresses
Primary practice location
1862 Mayo Drive
Tavares, FL 32778
Mailing address
PO Box 1363
Mount Dora, FL 32756-1363
Phone (352) 343-0053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251269602 | Medicaid | FL |
Other providers in Tavares, FL
- Central Florida Premier Eye Associates
- Central Florida Premier Eye Associates
- Central Florida Premier Eye Associates
- Central Florida Urology Specialists
- CFCF, Inc
- Nicole Chapman
- Cindy Margaret Charles
- Ronald M Chase
- Veronica Lissette Chastain
- Mary Ndum Njang Chiatoh-Gwanmesia
All providers in Tavares, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2015. 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.