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MARTIN CHANG
NPI 1750960365
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
955 MAIN ST RM 7230, BUFFALO, NY 14203(716) 829-6132(716) 829-3999 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martin Chang NPPES

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

MARTIN CHANG (NPI 1750960365) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750960365
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARTIN CHANG
Location Address955 MAIN ST RM 7230Buffalo, NY 14203-1121
Mailing Address955 Main St Rm 7230Buffalo, NY 14203-1121 · (716) 829-6132 · Fax (716) 829-3999
Phone(716) 829-6132
Fax(716) 829-3999
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedApril 2, 2021
✔ NPI 1750960365 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.
955 MAIN ST RM 7230, Buffalo, NY 14203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin 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 ID7315470192
PECOS Enrollment IDI20241031003444
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.

Medicare Billing Reassignment

Medicare enrollment records show Martin Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,174 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

TANYA VERMA JIMERSON MD
Student in an Organized Health Care Education/Training Program
955 MAIN ST RM 7230
BUFFALO, NY 14203
Erie County (716) 829-6132

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 Martin Chang's NPI number?

The NPI number for Martin Chang is 1750960365. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Martin Chang located?

Martin Chang practices at 955 Main St Rm 7230, Buffalo, NY 14203. The listed phone number is (716) 829-6132.

What is Martin 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 Martin Chang enrolled in Medicare?

Yes. Martin 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.

Which organization bills Medicare for Martin Chang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Chang reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Chang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Martin Chang was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.