DR. KI-EUN CHANG MD
NPI 1073979332
Neurological Surgery in Providence, RI
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ki-eun Chang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ki-eun Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Ki-eun Chang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ki-eun Chang reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ki-eun Chang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.