DR. DONGWOO JOHN CHANG (M.D.) – Neurological Surgery Physician, NPI 1962485037

DR. DONGWOO JOHN CHANG (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Neurological Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 036120333 (IL). The NPI Number for DR. DONGWOO JOHN CHANG (M.D.) is 1962485037

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONGWOO JOHN CHANG (M.D.)
NPI
1962485037
Phone
(815) 394-9788
Address
6633 N 3RD ST
Enumeration Date
22 November 2005
Last Update Date
10 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185490721
Graduation Year
1993 (33 years ago)
PAC ID
6709779853
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20080819000941

Contacts

Secure Messaging
dchang25751@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. DONGWOO JOHN CHANG (M.D.)

  • 6633, North 3rd Street, East Oak Lane, North Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19126, United States

    PHILADELPHIA, PA 191263121

    Phone: (815) 394-9788

    Type: Mailing

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 351-4972

    Fax: (618) 351-4973

    Type: Mailing

  • 305 W JACKSON ST STE 400

    CARBONDALE, IL 629011474

    Phone: (618) 351-4972

    Fax: (618) 351-4973

    Type: Location

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 $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Baxter Healthcare ($46).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$46
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: 2019-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20080819000941INeurosurgeryILTBD
I20150521002090INeurosurgeryMITBD
I20170112002423INeurosurgeryCOTBD
I20190711002648INeurosurgeryNYTBD

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
99441Telephone medical discussion with physician, 5-10 minutes13198$0
99442Telephone medical discussion with physician, 11-20 minutes7367$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment4819$0
22614Fusion of additional segment of spine3617$0
99213Established patient office or other outpatient visit, 20-29 minutes3428$0
View full utilization report →

Insurance plans in this area (ZIP 19126)

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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: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
U R O L O G YIL

Reviews

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Frequently asked questions

Does DR. DONGWOO JOHN CHANG (M.D.) have a public NPI I can cite?
Public records show DR. DONGWOO JOHN CHANG (M.D.) under NPI 1962485037.
Is DR. DONGWOO JOHN CHANG (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. DONGWOO JOHN CHANG (M.D.) as active.
What type of care does DR. DONGWOO JOHN CHANG (M.D.) provide?
DR. DONGWOO JOHN CHANG (M.D.)'s profile centers on Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. DONGWOO JOHN CHANG (M.D.) tied to Philadelphia, Pennsylvania?
If you are local to Philadelphia, Pennsylvania, DR. DONGWOO JOHN CHANG (M.D.) may be relevant to your search.
Can I export DR. DONGWOO JOHN CHANG (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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