1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Obstetrics Gynecology
  6. NPI Profile

SHANNON CHANG
NPI 1366029076
Obstetrics & Gynecology in New York, NY

Active since March 27, 2021PECOS Enrolled
635 MADISON AVE FL 6, NEW YORK, NY 10022(212) 988-2111 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2026, Mar 30, 2021, Mar 27, 2021 (3 updates tracked since 2021).

About Shannon Chang NPPES

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

SHANNON CHANG (NPI 1366029076) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (337663) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366029076
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHANNON CHANG
Location Address635 MADISON AVE FL 6New York, NY 10022-1251
Mailing Address12141 Richmond AveHouston, TX 77082-2408
Phone(212) 988-2111
Sole ProprietorYes
Enumeration DateMarch 27, 2021
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1366029076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 337663
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

635 MADISON AVE FL 6, New York, NY 10022
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Chang 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 4

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

JAG MEDICAL PLLC
Obstetrics & Gynecology
635 MADISON AVE FL 6
NEW YORK, NY 10022
New York County (212) 988-2111
MAUREEN CERVANTES FNP-BC
Nurse Practitioner (Family)
635 MADISON AVE FL 6
NEW YORK, NY 10022
New York County (212) 988-2111
DR. COURTNEY ARIEL ALEXANDER MD
Obstetrics & Gynecology
635 MADISON AVE FL 6
NEW YORK, NY 10022
New York County (212) 988-2111
AHMED BADAWI M.D.
Obstetrics & Gynecology
635 MADISON AVE FL 6
NEW YORK, NY 10022
New York County (212) 988-2111

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 Shannon Chang's NPI number?

The NPI number for Shannon Chang is 1366029076. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Shannon Chang located?

Shannon Chang practices at 635 Madison Ave Fl 6, New York, NY 10022. The listed phone number is (212) 988-2111.

What is Shannon Chang's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shannon Chang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Chang was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.