MS. MARY W CHANG MD
NPI 1962407718
Dermatology - Pediatric Dermatology in Farmington, CT

Q: What is Mary Chang's NPI number?

The NPI number for Mary Chang is 1962407718. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Mary Chang's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Q: When was this NPI record last updated?

The NPPES record for Mary Chang was last updated on September 30, 2022. 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 June 17, 2005PECOS Enrolled

UCONN DERMATOLOGY, 21 SOUTH ROAD, 2ND FLOOR, FARMINGTON, CT 06032(860) 679-4600(860) 679-7534 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Jul 15, 2021 (2 updates tracked since 2021).

On this page

About Ms. Mary W Chang Md NPPES

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

MS. MARY W CHANG MD (NPI 1962407718) is an individual pediatric dermatology provider in Farmington, Connecticut, licensed in Connecticut (42985) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962407718

Entity TypeIndividualFemale

Primary Taxonomy207NP0225X

Provider Legal NameMS. MARY W CHANGCredential: MD

Location AddressUCONN DERMATOLOGY, 21 SOUTH ROAD, 2ND FLOORFarmington, CT 06032

Mailing AddressDepartment Of Dermatology Uconn Health, 21 South Rd, 2nd FloorFarmington, CT 06032 · (860) 679-4600 · Fax (860) 679-7534

Phone(860) 679-4600

Fax(860) 679-7534

Sole ProprietorNo

Enumeration DateJune 17, 2005

Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration

NPPES CertifiedJuly 15, 2021

✔ NPI 1962407718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NP0225X

License✔ Licensed in CT · 42985

Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

UCONN DERMATOLOGY, Farmington, CT 06032

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Other Identifiers 1

Medicaid001429853CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary W 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06032 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

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 Mary Chang's NPI number?

The NPI number for Mary Chang is 1962407718. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Mary Chang located?

Mary Chang practices at Uconn Dermatology 21 South Road, 2nd Floor, Farmington, CT 06032. The listed phone number is (860) 679-4600.

What is Mary Chang's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Mary Chang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Chang was last updated on September 30, 2022. 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.