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DEREK KONG-JYUE CHANG MD, MSPH
NPI 1467157305
Internal Medicine in Salt Lake City, UT

Active since March 31, 2023PECOS Enrolled
30 NORTH MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132(801) 581-7899 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, May 30, 2023, May 23, 2023 and 3 more (6 updates tracked since 2023).

About Derek Kong-jyue Chang Md, Msph NPPES

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

DEREK KONG-JYUE CHANG MD, MSPH (NPI 1467157305) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (14244573-1205) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467157305
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDEREK KONG-JYUE CHANGCredential: MD, MSPH
Location Address30 NORTH MARIO CAPECCHI DRIVESalt Lake City, UT 84132-8509
Mailing Address30 N Mario Capecchi DriveSalt Lake City, UT 84132-8509 · (801) 581-7899
Phone(801) 581-7899
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateOctober 29, 20256 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1467157305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in UT · 14244573-1205✔ Licensed in AZ · R80180
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30 NORTH MARIO CAPECCHI DRIVE, Salt Lake City, UT 84132
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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)

Derek Kong-jyue Chang Md, Msph 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 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 3

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

AUDREY VIOLET ADLER MD
Physical Medicine & Rehabilitation
30 NORTH MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
DR. REYAN HATEM ABDULMOTI MERDAD MBBS
Internal Medicine
30 NORTH MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-4596
CLAY FORSYTH GIBB DO
Anesthesiology
30 NORTH MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7606

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 Derek Chang's NPI number?

The NPI number for Derek Chang is 1467157305. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Derek Chang located?

Derek Chang practices at 30 North Mario Capecchi Drive, Salt Lake City, UT 84132. The listed phone number is (801) 581-7899.

What is Derek Chang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derek Chang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derek Chang was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.