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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIN KYUNG CHANG
NPI 1871176297
Surgery in Bloomington, IL

Active since May 03, 2021PECOS Enrolled
1505 EASTLAND DR STE 2300, BLOOMINGTON, IL 61701(309) 644-3160(309) 644-3344 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 14, 2026, May 3, 2021 (2 updates tracked since 2021).

About Min Kyung Chang NPPES

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

MIN KYUNG CHANG (NPI 1871176297) is an individual surgery provider in Bloomington, Illinois, licensed in Illinois (036182559) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wyoming.

NPPES Registry Identity

NPI1871176297
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMIN KYUNG CHANG
Location Address1505 EASTLAND DR STE 2300Bloomington, IL 61701-7910
Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606
Phone(309) 644-3160
Fax(309) 644-3344
Sole ProprietorNo
Enumeration DateMay 3, 2021
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1871176297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036182559
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1505 EASTLAND DR STE 2300, Bloomington, IL 61701
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Secondary Practice Location 1

Location 15900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (616) 252-7200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Min Kyung 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. PEJMAN BABAKHANLOU M.D.
Surgery
1505 EASTLAND DR STE 2300
BLOOMINGTON, IL 61701
McLean County (309) 644-3160

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 Min Kyung Chang's NPI number?

The NPI number for Min Kyung Chang is 1871176297. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Min Kyung Chang located?

Min Kyung Chang practices at 1505 Eastland Dr Ste 2300, Bloomington, IL 61701. The listed phone number is (309) 644-3160.

What is Min Kyung Chang's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Min Kyung Chang enrolled in Medicare?

Yes. Min Kyung Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Min Kyung Chang was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.