DAVID CHANG (MD) – Body Imaging Physician, NPI 1689733255

DAVID CHANG (MD) is a healthcare provider. based in Annapolis, Maryland. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. A77999 (CA). The NPI Number for DAVID CHANG (MD) is 1689733255

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DAVID CHANG (MD)
NPI
1689733255
Phone
(410) 571-0350
Address
122 Defense Hwy Ste 102
Enumeration Date
8 December 2006
Last Update Date
26 September 2024

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
4105710350
Graduation Year
2000 (26 years ago)
PAC ID
8729023072
Group Practice PAC ID
9931178373
Professional Enrollment ID
I20050627000973
Address ID
CA917842551UP1684XPLXX300
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

1,085 DIAGNOSTIC RADIOLOGY in MD

Provider Addresses for DAVID CHANG (MD)

  • 122 Defense Hwy Ste 102

    Annapolis, MD 214017044

    Phone: (410) 571-0350

    Fax: (410) 571-7069

    Type: Location

  • 9961 Sierra Ave

    Fontana, CA 923356720

    Phone: (909) 427-3910

    Type: Location

  • Kaiser Permanente Fontana Medical Center, 9961, Sierra Avenue, Fontana, San Bernardino County, California, 92335, United States

    FONTANA, CA 923356720

    Phone: (909) 427-3910

    Type: Location

  • 1684 FRANKLINE PL

    UPLAND, CA 917842551

    Phone: (410) 571-0350

    Fax: (410) 571-7069

    Type: Location

  • 393, Walnut Street, Pasadena, Los Angeles County, California, 91188, United States

    3RD FLOOR PHR SYSTEMS

    PASADENA, CA 911880001

    Phone: (626) 405-3640

    Fax: (626) 405-6768

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: CALLIDITAS THERAPEUTICS US INC. ($47).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-06-27

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
I20050627000973IDiagnostic RadiologyCATBD

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 21401)

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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: 9931178373View full group profile
NameSpecialtyState
Diagnostic RadiologyMD
Interventional Radiology, Pain Management, Interventional Pain ManagementFL
Diagnostic RadiologyMD
Diagnostic RadiologyMD
Diagnostic RadiologyMD
Diagnostic Radiology, Nuclear Medicine, Internal Medicine, Nuclear MedicineMD
Diagnostic RadiologyMD
Diagnostic RadiologyMD
Diagnostic RadiologyMD

Reviews

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Frequently asked questions

What NPI should I save for DAVID CHANG (MD)?
Save NPI 1689733255 if you need a stable reference for DAVID CHANG (MD).
Is DAVID CHANG (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DAVID CHANG (MD) treat or focus on?
Patients typically see DAVID CHANG (MD) under the specialty Body Imaging Physician. Clinical services aligned with this taxonomy classification.
Where is DAVID CHANG (MD)'s primary listing?
We display Annapolis, Maryland because that is what the record indicates for DAVID CHANG (MD).
What if Annapolis, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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