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TAE YONG CHANG
NPI 1467959619
Allergy & Immunology - Allergy in Saint Paul, MN

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
565 SNELLING AVE S, SAINT PAUL, MN 55116(651) 698-0386(866) 314-4031 Get Directions Write a Review

NPPES record last updated: January 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2024, Apr 12, 2018 (2 updates tracked since 2018).

About Tae Yong Chang NPPES

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

TAE YONG CHANG (NPI 1467959619) is an individual allergy provider in Saint Paul, Minnesota, licensed in Minnesota (78259) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2018).

NPPES Registry Identity

NPI1467959619
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameTAE YONG CHANG
Location Address565 SNELLING AVE SSaint Paul, MN 55116-1525
Mailing Address565 Snelling Ave SSaint Paul, MN 55116-1525 · (651) 698-0386
Phone(651) 698-0386
Fax(866) 314-4031
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateJanuary 19, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2025
✔ NPI 1467959619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in MN · 78259
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
565 SNELLING AVE S, Saint Paul, MN 55116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Tae Yong 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 ID547618597
PECOS Enrollment IDI20250106000609
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.

Other Providers at the Same Location NPPES 6

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

JOHN GEOFFREY WAHLSTROM M.D.
Allergy & Immunology
565 SNELLING AVE S
SAINT PAUL, MN 55116
Ramsey County (651) 698-0386
DR. NILADRI AICHBHAUMIK MD
Allergy & Immunology
565 SNELLING AVE S
SAINT PAUL, MN 55116
Ramsey County (651) 698-0386
DR. NICOLE M CHASE MD
Allergy & Immunology
565 SNELLING AVE S
SAINT PAUL, MN 55116
Ramsey County (651) 698-0386
DR. GARY RICHARD GELLER M.D.
Allergy & Immunology
565 SNELLING AVE S
SAINT PAUL, MN 55116
Ramsey County (651) 698-0386
MICAH KARASOV D.O.
Allergy & Immunology
565 SNELLING AVE S
SAINT PAUL, MN 55116
Ramsey County (651) 698-0386
ST PAUL ALLERGY & ASTHMA CLINIC P.A.
Allergy & Immunology
565 SNELLING AVE S
SAINT PAUL, MN 55116
Ramsey County (651) 698-0386

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 Tae Chang's NPI number?

The NPI number for Tae Chang is 1467959619. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Tae Chang located?

Tae Chang practices at 565 Snelling Ave S, Saint Paul, MN 55116. The listed phone number is (651) 698-0386.

What is Tae Chang's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Tae Chang enrolled in Medicare?

Yes. Tae 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.

What insurance does Tae Chang accept?

Health plans from HealthPartners and Medica list Tae 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 Tae Chang was last updated on January 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.