MINA CHANG MD
NPI 1790928307
Student in an Organized Health Care Education/Training Program in Waterbury, CT
About Mina Chang Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINA CHANG MD (NPI 1790928307) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Mina Chang Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Mina Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pleasant Hill, CA 94523
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERBURY, CT 06708
WATERBURY, CT 06708
WATERBURY, CT 06708
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 Mina Chang's NPI number?
The NPI number for Mina Chang is 1790928307. It was assigned to this individual provider in the NPPES registry on April 13, 2009.
Where is Mina Chang located?
Mina Chang practices at 64 Robbins Street Waterbury Hospital, Waterbury, CT 06708. The listed phone number is (203) 573-6574.
What is Mina 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 Mina Chang enrolled in Medicare?
Yes. Mina 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 Mina Chang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mina Chang reassigns Medicare benefits to East Bay Integrated Care, Inc (Pleasant Hill, 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 Mina 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 Mina Chang was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mina Chang, MD · NPI 1790928307
Student in an Organized Health Care Education/Training Program provider in Waterbury, Connecticut. Individual provider, active in the CMS NPPES registry since April 13, 2009.
## Identity
- **NPI:** 1790928307 (Entity type: Individual)
- **Enumerated:** April 13, 2009
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 64 ROBBINS STREET, WATERBURY HOSPITAL, Waterbury, CT 06708
- **Phone:** (203) 573-6574 · **Fax:** (203) 573-6213
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** East Bay Integrated Care, Inc (NPI 1205946555, Pleasant Hill, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1790928307) · Data from the CMS NPPES public registry.