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ALICIA K CHANG MD
NPI 1316237332
Pediatrics - Pediatric Hematology-Oncology in Houston, TX

Active since April 11, 2011PECOS Enrolled
71.01/100
CMS Quality Rating
1102 BATES AVE STE 1025.06, HOUSTON, TX 77030(328) 824-1078 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2018, Jun 19, 2018 (2 updates tracked since 2018).

About Alicia K Chang Md NPPES

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

ALICIA K CHANG MD (NPI 1316237332) is an individual pediatric hematology-oncology provider in Houston, Texas, licensed in Texas (R6533) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316237332
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameALICIA K CHANGCredential: MD
Location Address1102 BATES AVE STE 1025.06Houston, TX 77030
Mailing Address2499 Judiway St Unit 925065Houston, TX 77292-7064
Phone(328) 824-1078
Sole ProprietorYes
Enumeration DateApril 11, 2011
Last NPPES UpdateJune 26, 20182 updates tracked since enumeration
✔ NPI 1316237332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TX · R6533
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
1102 BATES AVE STE 1025.06, Houston, TX 77030
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia K Chang Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dell Children's Medical Group
144 mi
Pediatrics
1301 BARBARA JORDAN BLVD STE 200
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1326072943 (512) 628-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

Reported Quality Measures

Chlamydia Screening for Women
4%50 patients
Closing the Referral Loop: Receipt of Specialist Report
26%42 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
84%49 patients4/55-star benchmark: 100%
e-Prescribing
91%217 patients1/55-star benchmark: 100%
HIV Screening
10%63 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
58%26 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
12%81 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%39 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
80%173 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Alicia Chang's NPI number?

The NPI number for Alicia Chang is 1316237332. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Alicia Chang located?

Alicia Chang practices at 1102 Bates Ave Ste 1025.06, Houston, TX 77030. The listed phone number is (328) 824-1078.

What is Alicia Chang's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Alicia Chang enrolled in Medicare?

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

Which organization bills Medicare for Alicia Chang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Chang reassigns Medicare benefits to Dell Children's Medical Group (Austin, TX). 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 Alicia Chang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Chang accept?

Health plans from Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Alicia Chang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alicia Chang was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.