DR. KALIQ TRIMBLE CHANG MD - NPI 1013151471 - Anesthesiology in West Orange, NJ

Q: What is the provider's specialty?

The provider's specialty is Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

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About Dr. Kaliq Trimble Chang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KALIQ TRIMBLE CHANG MD (NPI 1013151471) is an individual pain medicine provider in West Orange, New Jersey, licensed in New York (270617) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013151471

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameDR. KALIQ TRIMBLE CHANGCredential: MD

Location Address475 PROSPECT AVE, STE 110West Orange, NJ 07052

Mailing Address475 Prospect Ave, Ste 110West Orange, NJ 07052 · (973) 419-0200

Phone(973) 419-0200

Sole ProprietorYes

Enumeration DateApril 28, 2009

Last NPPES UpdateDecember 30, 2015

✔ NPI 1013151471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in NY · 270617

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 270617 (NY)

475 PROSPECT AVE, West Orange, NJ 07052

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kaliq Trimble Chang Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2026.

Opt-Out Effective DateApril 1, 2016

Opt-Out In Effect ThroughApril 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.