NPIMap

Individual provider Active NPI

Michael L Chang, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1972683290
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K4651 Issued in TX
Practice address
2138 McClendon St
Houston, TX 77030-2110
Phone
(615) 293-5790
NPI assigned
Oct 17, 2006
Last updated
May 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K4651 TX Primary

Addresses

Primary practice location

2138 McClendon St
Houston, TX 77030-2110

Mailing address

PO Box 24125
Fort Worth, TX 76124-1125
Phone (817) 451-4208

Other practice location 1

9229 Lyndon B Johnson Fwy
Dallas, TX 75243-3405
Phone (972) 739-3711

Other identifiers 2

IdentifierTypeStateIssuer
152267402MedicaidTX
8P5334OtherTXBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001405 TX Practitioner - Emergency Medicine 2860462991 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4651TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Management LLC Emergency Medicine CurrentSince May 10, 2020 Accepting new patients
Bayou City Ep PLLC CurrentSince Nov 16, 2025 Accepting new patients
Laredo Emergency Center LLC Current Accepting new patients
Synergy Medical Partners, LLC CurrentSince Dec 1, 2019 Accepting new patients
Bellaire Emergency Physicians, PLLC Past Accepting new patients

Locations

6030 S Rice Ave
Houston, TX 77081
Phone (615) 293-5790

6030 S Rice Ave
Ste C
Houston, TX 77081
Phone (713) 669-9900

19211 McKay Dr
Humble, TX 77338
Phone (281) 869-5907

2502 NE Bob Bullock Loop
Laredo, TX 78045
Phone (409) 227-0520

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1972683290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761241125",
            "telephone_number": "817-451-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 MCCLENDON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302110",
            "telephone_number": "615-293-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9229 Lyndon B Johnson Fwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433405",
            "country_code": "US",
            "telephone_number": "972-739-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K4651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152267402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8P5334",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.