DR. JASON VICTOR CHANG (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1124284708

DR. JASON VICTOR CHANG (M.D.) is a healthcare provider. based in Gibson city, Illinois. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 125-054734 (IL). The NPI Number for DR. JASON VICTOR CHANG (M.D.) is 1124284708

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON VICTOR CHANG (M.D.)
NPI
1124284708
Phone
(217) 784-4540
Address
4 Doctors Park
Enumeration Date
2 August 2008
Last Update Date
15 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472402211
Graduation Year
2008 (18 years ago)
PAC ID
0244492015
Group Practice PAC ID
3274427729
Professional Enrollment ID
I20120424000735
Address ID
IL601735113SC1701XRDXX417

Contacts

Secure Messaging
jason.chang.p27@direct.gapho.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

1,367 PSYCHIATRY in IL

Provider Addresses for DR. JASON VICTOR CHANG (M.D.)

  • 4 Doctors Park

    Gibson City, IL 609362000

    Phone: (217) 784-4540

    Type: Location

  • 1701, East Woodfield Road, Schaumburg, Schaumburg Township, Cook County, Illinois, 60173, United States

    SUITE 1000

    SCHAUMBURG, IL 601735113

    Phone: (847) 240-2211

    Fax: (847) 240-2418

    Type: Location

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: 2018-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120424000735IPsychiatryILTBD
I20181126003079IPsychiatryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60936)

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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: 3274427729View full group profile
NameSpecialtyState
P S Y C H I A T R YIL
Clinical PsychologistIL
Clinical PsychologistIL
-IL
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
P S Y C H I A T R YIL
Clinical PsychologistIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

What is the registry number for DR. JASON VICTOR CHANG (M.D.)?
The registry entry for DR. JASON VICTOR CHANG (M.D.) shows NPI 1124284708.
Should I treat DR. JASON VICTOR CHANG (M.D.) as an active provider?
Patients and plans typically see DR. JASON VICTOR CHANG (M.D.) as active in the national extract.
How should patients interpret DR. JASON VICTOR CHANG (M.D.)'s specialty?
The extract shows Child & Adolescent Psychiatry Physician for DR. JASON VICTOR CHANG (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JASON VICTOR CHANG (M.D.)?
DR. JASON VICTOR CHANG (M.D.) is associated with Gibson City, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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