DR. WILBUR CHANG (M.D.-PH.D.) – Diagnostic Radiology Physician, NPI 1770675928

DR. WILBUR CHANG (M.D.-PH.D.) is a healthcare provider. based in Rockville, Maryland. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.-PH.D.. They hold a License No. D0063067 (MD). The NPI Number for DR. WILBUR CHANG (M.D.-PH.D.) is 1770675928

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILBUR CHANG (M.D.-PH.D.)
NPI
1770675928
Phone
(301) 816-2424
Address
2101 E JEFFERSON ST
Enumeration Date
28 September 2006
Last Update Date
8 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
3017025000
Graduation Year
2000 (26 years ago)
PAC ID
6305997479
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20090903000451
Address ID
MD207464207SU5100XWAYX300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness85
Years active:19State licenses:4Other namesUpdated within 12 months

1,085 DIAGNOSTIC RADIOLOGY in MD

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Provider Addresses for DR. WILBUR CHANG (M.D.-PH.D.)

  • East Jefferson Street, Croydon Park, Rockville, Montgomery County, Maryland, 20850-3827, United States

    KAISER PERMANENTE MEDICARE ENROLLMENT

    ROCKVILLE, MD 208524908

    Phone: (301) 816-2424

    Fax: (301) 929-7597

    Type: Mailing

  • Kaiser Permanente, 10810, Connecticut Avenue, Rock Creek Palisades, Kensington, Montgomery County, Maryland, 20895, United States

    RADIOLOGY

    KENSINGTON, MD 208952138

    Phone: (301) 929-7100

    Fax: (301) 929-7597

    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: 2022-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20090701000094IDiagnostic RadiologyMDTBD
I20090903000451IDiagnostic RadiologyDCTBD
I20110128000224IDiagnostic RadiologyVATBD
I20210730001367IDiagnostic RadiologyGATBD
I20220518002051IDiagnostic RadiologyHITBD

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 20852)

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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: 3779495858View full group profile

Reviews

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Frequently asked questions

Is DR. WILBUR CHANG (M.D.-PH.D.) listed with a National Provider Identifier?
Yes — DR. WILBUR CHANG (M.D.-PH.D.) has NPI 1770675928 on file in the registry.
Is DR. WILBUR CHANG (M.D.-PH.D.) shown as active in public data?
Registry records indicate DR. WILBUR CHANG (M.D.-PH.D.) maintains an active NPI.
What area of care is associated with DR. WILBUR CHANG (M.D.-PH.D.)?
DR. WILBUR CHANG (M.D.-PH.D.)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. WILBUR CHANG (M.D.-PH.D.)?
Travel planning: use Rockville, Maryland as the reference point for DR. WILBUR CHANG (M.D.-PH.D.), then confirm.
Can I trust this NPI listing for DR. WILBUR CHANG (M.D.-PH.D.)?
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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