Organization Active NPI

Bill K Chang MD PA

  • Vascular Surgery Physician
  • Webster, TX
National Provider Identifier
1982803433
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
BILL K CHANG MD PA
Practice address
560 Blossom St
Suite a
Webster, TX 77598-4236
Phone
(281) 554-8919
Fax
(281) 554-6045
NPI assigned
Jul 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Bill K Chang, MDNPI 1043321698
Title
Physician
Phone
(713) 855-5505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

560 Blossom St
Suite a
Webster, TX 77598-4236

Mailing address

PO Box 58687
Webster, TX 77598-8687
Phone (281) 554-8919

Other identifiers 3

IdentifierTypeStateIssuer
0040XPOtherTXBCBSTX
DG9013OtherTXRRMEDICARE
191236201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000433 TX Part B Supplier - Clinic/Group Practice 3072694579 Receives reassigned benefits from 1 practitioner
Practice locations: Webster, TX; Texas City, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

1050 Gemini St
Ste 203
Houston, TX 77058
Phone (281) 554-8919

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1982803433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58687",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988687",
            "telephone_number": "281-554-8919",
            "fax_number": "281-554-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BLOSSOM ST",
            "address_2": "SUITE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984236",
            "telephone_number": "281-554-8919",
            "fax_number": "281-554-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL K CHANG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-15",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-855-5505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0040XP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "DG9013",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191236201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.