ERIC STEPHEN CHANG MD
NPI 1649975376
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Eric Chang's NPI number?

The NPI number for Eric Chang is 1649975376. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Eric Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Chang was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 03, 2023PECOS Enrolled

1300 N 12TH ST STE 508, PHOENIX, AZ 85006(602) 839-3927(602) 839-4233 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eric Stephen Chang Md NPPES

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

ERIC STEPHEN CHANG MD (NPI 1649975376) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649975376

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameERIC STEPHEN CHANGCredential: MD

Location Address1300 N 12TH ST STE 508Phoenix, AZ 85006-2849

Mailing Address1300 N 12th St Ste 508Phoenix, AZ 85006-2849 · (602) 839-3927 · Fax (602) 839-4233

Phone(602) 839-3927

Fax(602) 839-4233

Sole ProprietorNo

Enumeration DateApril 3, 2023

NPPES CertifiedApril 3, 2023

✔ NPI 1649975376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1300 N 12TH ST STE 508, Phoenix, AZ 85006

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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)

Eric Stephen 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.

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.

TREVIN REYES MD

Student in an Organized Health Care Education/Training Program