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JONATHAN CHANG
NPI 1720783418
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since April 03, 2023PECOS Enrolled
400 E EISENHOWER PKWY STE B, ANN ARBOR, MI 48108(734) 539-5080 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Chang NPPES

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

JONATHAN CHANG (NPI 1720783418) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (5151017126) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720783418
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN CHANG
Location Address400 E EISENHOWER PKWY STE BAnn Arbor, MI 48108-3302
Mailing Address1540 E Hospital Dr # Mpbd3230Ann Arbor, MI 48109-4000 · (734) 647-1774
Phone(734) 539-5080
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1720783418 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
License✔ Licensed in MI · 5151017126
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.

400 E EISENHOWER PKWY STE B, Ann Arbor, MI 48108
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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)

Jonathan 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.

Other Providers at the Same Location NPPES 14

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

DR. SYDNEY MARIE PETERS MD
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Washtenaw County (734) 539-5080
WILLIAM SCHULTZ MD
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Washtenaw County (734) 539-5080
ERIKA OUCHI
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Washtenaw County (734) 539-5080
ANDREW LEAT MD
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Washtenaw County (734) 539-5080
CAROLINE PESCHANSKY MD
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Washtenaw County (734) 539-5080
KHUSBU PATEL
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B, BUILDING 2, SUITE B
ANN ARBOR, MI 48108
Washtenaw County (734) 539-5080
COLLIN LEE JONES
Student in an Organized Health Care Education/Training Program
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Washtenaw County (734) 539-5080
PATRICK MORAN MD
Pediatrics (Pediatric Critical Care Medicine)
400 E EISENHOWER PKWY STE B
ANN ARBOR, MI 48108
Washtenaw County (734) 232-2600

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 Jonathan Chang's NPI number?

The NPI number for Jonathan Chang is 1720783418. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Jonathan Chang located?

Jonathan Chang practices at 400 E Eisenhower Pkwy Ste B, Ann Arbor, MI 48108. The listed phone number is (734) 539-5080.

What is Jonathan Chang's specialty?

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

Is Jonathan Chang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathan Chang was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.