JONATHAN GEEKAI CHANG (M.D.) – Pediatrics Physician, NPI 1104184241

JONATHAN GEEKAI CHANG (M.D.) is a healthcare provider. based in Memphis, Tennessee. specializing in EMERGENCY MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35145273 (OH). The NPI Number for JONATHAN GEEKAI CHANG (M.D.) is 1104184241

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN GEEKAI CHANG (M.D.)
NPI
1104184241
Phone
(678) 773-9454
Address
848 ADAMS AVE
Enumeration Date
26 April 2012
Last Update Date
9 May 2022

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6147224579
Graduation Year
2012 (14 years ago)
PAC ID
0042432270
Group Practice PAC ID
2961306774
Professional Enrollment ID
I20220525002860
Address ID
OH432052664CO700XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,131 EMERGENCY MEDICINE in TN

Provider Addresses for JONATHAN GEEKAI CHANG (M.D.)

  • 848 ADAMS AVE

    MEMPHIS, TN 381032816

    Phone: (678) 773-9454

    Type: Location

  • 1195 HARBOR RIVER DR

    MEMPHIS, TN 381038973

    Phone: (678) 773-9454

    Type: Mailing

  • 700 CHILDRENS DR

    COLUMBUS, OH 432052664

    Phone: (614) 722-2000

    Type: Location

  • 444 Butterfly Gardens Dr

    Columbus, OH 432153427

    Phone: (614) 722-2000

    Type: Location

  • 7853 Pacer Dr

    Delaware, OH 430157571

    Phone: (614) 355-7900

    Type: Location

  • 100 Colemans Xing

    Marysville, OH 430407080

    Phone: (937) 578-7600

    Type: Location

  • 4363 All Seasons Dr Ste 100

    Hilliard, OH 430262050

    Phone: (614) 355-5900

    Type: Location

  • 6435 E Broad St

    Columbus, OH 432131507

    Phone: (614) 355-8100

    Type: Location

  • 7450 Hospital Dr Ste 100

    Dublin, OH 430168364

    Phone: (614) 355-7000

    Type: Location

  • 7901 Diley Rd Ste 150

    Canal Winchester, OH 431109613

    Phone: (614) 355-9050

    Type: Location

  • 433 N Cleveland Ave

    Westerville, OH 430828095

    Phone: (614) 355-8300

    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: 2022-05-25

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
I20220525002860IEmergency MedicineOHTBD

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 38103)

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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: 2961306774View full group profile
NameSpecialtyState
-OH
Critical Care (Intensivists), Pediatric MedicineOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
-OH
Pulmonary Disease, Pediatric MedicineOH
-OH
-OH

Reviews

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Frequently asked questions

How do I look up JONATHAN GEEKAI CHANG (M.D.) by NPI?
Use NPI 1104184241 when you need to reference JONATHAN GEEKAI CHANG (M.D.) in forms, claims, or directories.
Is JONATHAN GEEKAI CHANG (M.D.)'s NPI currently valid?
The extract we use shows JONATHAN GEEKAI CHANG (M.D.) as active.
What field does JONATHAN GEEKAI CHANG (M.D.) work in?
You can think of JONATHAN GEEKAI CHANG (M.D.) as practicing within Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Does JONATHAN GEEKAI CHANG (M.D.) practice in Tennessee?
You will see Memphis, Tennessee on file for JONATHAN GEEKAI CHANG (M.D.) alongside any extra practice locations.
Is JONATHAN GEEKAI CHANG (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104184241. Always confirm identity and privileges with the practice and licensing boards.

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