JIN YOUNG CHANG MD
NPI 1306637277
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Jin Young Chang Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIN YOUNG CHANG MD (NPI 1306637277) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351055094) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jin Young Chang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Jin Young Chang's NPI number?
The NPI number for Jin Young Chang is 1306637277. It was assigned to this individual provider in the NPPES registry on May 13, 2025.
Where is Jin Young Chang located?
Jin Young Chang practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-3581.
What is Jin Young 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 Jin Young Chang enrolled in Medicare?
Yes. Jin Young Chang is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jin Young Chang was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Jin Young Chang, MD · NPI 1306637277
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since May 13, 2025.
## Identity
- **NPI:** 1306637277 (Entity type: Individual)
- **Enumerated:** May 13, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351055094 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-3581
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306637277) · Data from the CMS NPPES public registry.