PHYLLIS C CHANG (MD) – Obstetrics Physician, NPI 1265654735

PHYLLIS C CHANG (MD) is a healthcare provider. based in Glen ellyn, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036116925 (IL). The NPI Number for PHYLLIS C CHANG (MD) is 1265654735

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
PHYLLIS C CHANG (MD)
NPI
1265654735
Phone
(630) 469-9200
Address
430 Pennsylvania Ave
Enumeration Date
3 May 2007
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
6309334700
Graduation Year
2003 (23 years ago)
PAC ID
9234230897
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20070726000227
Address ID
IL601344200GE300XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,925 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for PHYLLIS C CHANG (MD)

  • 430 Pennsylvania Ave

    Glen Ellyn, IL 601374464

    Phone: (630) 469-9200

    Type: Location

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606740018

    Phone:

    Type: Mailing

  • 430, Pennsylvania Avenue, Glen Ellyn, DuPage County, Illinois, 60137, United States

    GLEN ELLYN, IL 601374464

    Phone: (630) 469-9200

    Type: Location

  • 300 RANDALL RD

    GENEVA, IL 601344200

    Phone: (630) 653-4240

    Fax: (630) 938-9190

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($85).

Total Amount

$327

General + Research + Ownership

Payments

15

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-07-26

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
I20070726000227IObstetrics/GynecologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2419$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2020$0
99213Established patient office or other outpatient visit, 20-29 minutes1914$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1414$0
View full utilization report →

Insurance plans in this area (ZIP 60137)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

Is PHYLLIS C CHANG (MD) listed with a National Provider Identifier?
Yes — PHYLLIS C CHANG (MD) has NPI 1265654735 on file in the registry.
Is PHYLLIS C CHANG (MD) still an active registrant?
PHYLLIS C CHANG (MD) carries an active NPI according to the public dataset.
What kind of doctor is PHYLLIS C CHANG (MD)?
PHYLLIS C CHANG (MD) is associated with Obstetrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Is PHYLLIS C CHANG (MD) located near Glen Ellyn?
PHYLLIS C CHANG (MD) currently maps to Glen Ellyn, Illinois in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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