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WOOTAEK CHANG
NPI 1437167590
Internal Medicine - Nephrology in Brooklyn, NY

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
121 DEKALB AVE, BROOKLYN, NY 11201(718) 250-8022(718) 250-6179 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wootaek Chang NPPES

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

WOOTAEK CHANG (NPI 1437167590) is an individual nephrology provider in Brooklyn, New York, licensed in New York (171373) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1437167590
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameWOOTAEK CHANG
Location Address121 DEKALB AVEBrooklyn, NY 11201-5425
Mailing Address50 Woodland RdRoslyn, NY 11576-1434 · (516) 365-1822 · Fax (718) 250-6179
Phone(718) 250-8022
Fax(718) 250-6179
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 4, 2006
Last NPPES UpdateAugust 9, 2013
✔ NPI 1437167590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 171373
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
121 DEKALB AVE, Brooklyn, NY 11201
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Other Identifiers 4

Medicare ID-Type UnspecifiedWC035F2210NY
Medicare UPINE87319NY
Medicaid01153222NY
Medicare PIN35F221NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wootaek Chang is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557382454
PECOS Enrollment IDI20051207000548
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
92 services13 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
87 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%30 patients5/55-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.

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.

EVANGELIA DAVANOS PHARMD, CNSC
Pharmacist (Nutrition Support)
121 DEKALB AVE, B231
BROOKLYN, NY 11201
Kings County (718) 250-8211
MR. KWONG LAU
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000
SAISREE KONDA M.D.
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000
DR. UZOMA N UKOMADU M.D.
Orthopaedic Surgery (Hand Surgery)
121 DEKALB AVE, ORTHOSUITE
BROOKLYN, NY 11201
Kings County (718) 250-7700
DR. MARIANA AVELAR FALCONE DE MELO
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION
BROOKLYN, NY 11201
Kings County (718) 250-6604
SIMONE CARDOSO PT,DPT
Physical Therapist
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8143
MARIE METILAINE ALEXANDRE NURSE PRACTITIONER
Nurse Practitioner (Family)
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8026
DR. JESSIE COLTER FULLMER MD
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000

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 Wootaek Chang's NPI number?

The NPI number for Wootaek Chang is 1437167590. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Wootaek Chang located?

Wootaek Chang practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-8022.

What is Wootaek Chang's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Wootaek Chang enrolled in Medicare?

Yes. Wootaek Chang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wootaek Chang was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.