SANG-ICK CHANG (MD) – Family Medicine Physician, NPI 1720168099

SANG-ICK CHANG (MD) is a healthcare provider. based in Palo alto, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G64586 (CA). The NPI Number for SANG-ICK CHANG (MD) is 1720168099

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
SANG-ICK CHANG (MD)
NPI
1720168099
Phone
(650) 725-2747
Address
1265 WELCH ROAD
Enumeration Date
17 October 2006
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
6507234000
Graduation Year
1987 (39 years ago)
PAC ID
0648378711
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20120328000460
Address ID
CA943052200ST300XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for SANG-ICK CHANG (MD)

  • Welch Road, Palo Alto, Santa Clara County, California, 94305, United States

    STANFORD UNIVERSITY SCHOOL OF MEDICINE

    PALO ALTO, CA 943055411

    Phone: (650) 725-2747

    Type: Mailing

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120328000460IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7474$0
99214Established patient office or other outpatient visit, 30-39 minutes5846$0
99213Established patient office or other outpatient visit, 20-29 minutes4337$0
99215Established patient office or other outpatient visit, 40-54 minutes2217$0
View full utilization report →

Insurance plans in this area (ZIP 94305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

Is SANG-ICK CHANG (MD) listed with a National Provider Identifier?
Yes — SANG-ICK CHANG (MD) has NPI 1720168099 on file in the registry.
Is there an active status for SANG-ICK CHANG (MD)?
For scheduling context, SANG-ICK CHANG (MD) is shown as active in the registry.
How would a patient describe SANG-ICK CHANG (MD)'s focus?
For SANG-ICK CHANG (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is SANG-ICK CHANG (MD) registered?
Use Palo Alto, California as the headline location for SANG-ICK CHANG (MD) here.
Can I trust this NPI listing for SANG-ICK CHANG (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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