NPIMap

Individual provider Active NPI

Andrew J Chang, MD, MPH

  • Otolaryngology Physician
  • Rockwall, TX
National Provider Identifier
1982964318
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
Q4732 Issued in TX
Practice address
1320 Summer Lee Dr
Rockwall, TX 75032-5453
Phone
(972) 771-5443
Fax
(972) 771-5444
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Q4732 TX Primary

Addresses

Primary practice location

1320 Summer Lee Dr
Rockwall, TX 75032-5453

Mailing address

1320 Summer Lee Dr
Rockwall, TX 75032-5453
Phone (972) 771-5443

Other practice location 1

2300 W Fm 544 Ste 200
Wylie, TX 75098-4941
Phone (972) 771-5443

Other practice location 2

763 E US Highway 80 Ste 230
Forney, TX 75126-8682
Phone (972) 771-5443

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
I20171107002543 TX Practitioner - Otolaryngology 5890051874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at San Antonio, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ENT and Allergy Centers of Texas, PLLCGroup PAC ID 4385709054, 56 clinicians

Practice addresses (Care Compare)

1320 Summer Lee Dr
Rockwall, TX 75032-5453
Phone (972) 771-5443

5220 W University Dr
Suite 150
McKinney, TX 75071-7418
Phone (972) 984-1050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4732TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The ENT & Allergy Centers of Texas, PLLC Otolaryngology CurrentSince Mar 1, 2026 Accepting new patients
Richard D Thrasher III MD PA Otolaryngology Past Accepting new patients

Locations

5220 W University Dr
Ste 150
McKinney, TX 75071
Phone (972) 632-3270

1320 Summer Lee Dr
Rockwall, TX 75032
Phone (972) 771-5443

Organizations & group practices 2

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1982964318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325453",
            "telephone_number": "972-771-5443",
            "fax_number": "972-771-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325453",
            "telephone_number": "972-771-5443",
            "fax_number": "972-771-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 W Fm 544 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750984941",
            "country_code": "US",
            "telephone_number": "972-771-5443",
            "fax_number": "972-771-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "763 E US Highway 80 Ste 230",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751268682",
            "country_code": "US",
            "telephone_number": "972-771-5443",
            "fax_number": "972-771-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.