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JEREMIAH S CHANG DO
NPI 1295479103
Student in an Organized Health Care Education/Training Program in Saint Joseph, MI

Active since April 26, 2022PECOS Enrolled
1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 569-6513 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremiah S Chang Do NPPES

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

JEREMIAH S CHANG DO (NPI 1295479103) is an individual student in an organized health care education/training program in Saint Joseph, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295479103
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMIAH S CHANGCredential: DO
Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112
Mailing Address6320 Hidden Lake CirRichland, MI 49083-9772 · (269) 569-6513
Phone(269) 569-6513
Sole ProprietorNo
Enumeration DateApril 26, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1295479103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1234 NAPIER AVE, Saint Joseph, MI 49085
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremiah S Chang Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

HANY S MESIHA MD
Internal Medicine
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-8300
CORY MINIER SCHMIDT MD
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 985-4632
JORDAN ANDERSON
Occupational Therapist
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-8332
DR. KAREN J DYER M.D.
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 985-4632
MR. NATHAN JOHN JORDAN MD
Radiology (Diagnostic Radiology)
1234 NAPIER AVE
ST JOSEPH, MI 49085
Berrien County (269) 983-8300
DR. JAMES G. SISAMIS MD
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0118
DR. DIEGO P BETITA MD
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0118
DR. JESSICA LYNN HAMILL SCHINDLER D.O.
Emergency Medicine
1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085
Berrien County (269) 982-4941

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 Jeremiah Chang's NPI number?

The NPI number for Jeremiah Chang is 1295479103. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Jeremiah Chang located?

Jeremiah Chang practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 569-6513.

What is Jeremiah Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeremiah Chang enrolled in Medicare?

Yes. Jeremiah Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremiah Chang was last updated on April 26, 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.