DR. KI-EUN CHANG MD
NPI 1073979332
Neurological Surgery in Providence, RI

Active since January 02, 2016PECOS Enrolled
593 EDDY STREET APC 6, PROVIDENCE, RI 02903(401) 793-9166(401) 444-2788 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2022, Jul 28, 2017, May 29, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Ki-eun Chang Md NPPES

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

DR. KI-EUN CHANG MD (NPI 1073979332) is an individual neurological surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD18382) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073979332
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. KI-EUN CHANGCredential: MD
Location Address593 EDDY STREET APC 6Providence, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Fax(401) 444-2788
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 2, 2016
Last NPPES UpdateMay 25, 20224 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
NPI 1073979332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in RI · MD18382 Licensed in CA · A147705
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
593 EDDY STREET APC 6, Providence, RI 02903

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ki-eun Chang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325394620
PECOS Enrollment IDI20260106002125
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
593 EDDY STREET APC 6
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY STREET APC 6
PROVIDENCE, RI 02903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ki-eun Chang's NPI number?

The NPI number for Ki-eun Chang is 1073979332. It was assigned to this individual provider in the NPPES registry on January 2, 2016.

Where is Ki-eun Chang located?

Ki-eun Chang practices at 593 Eddy Street Apc 6, Providence, RI 02903. The listed phone number is (401) 793-9166.

What is Ki-eun Chang's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Ki-eun Chang enrolled in Medicare?

Yes. Ki-eun Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ki-eun Chang was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.