BEVERLY CHANG (MD) – Internal Medicine Physician, NPI 1780600973

Internal Medicine Physician

BEVERLY CHANG (MD) is a healthcare provider. based in Slc, Utah. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00040979 (WA). The NPI Number for BEVERLY CHANG (MD) is 1780600973

Main info

Female

27 Years Of Experience

Accepts Medicare Assignment

Name

BEVERLY CHANG (MD)

NPI

1780600973

Phone

(801) 464-7660

Address

2000 S 900 E

Enumeration Date

14 July 2006

Last Update Date

7 June 2011

Doctor Profile

Medical School Name

NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL

Secondary Phone

8014647500

Graduation Year

1999 (27 years ago)

PAC ID

3274529862

Group Practice PAC ID

1850209420

Professional Enrollment ID

I20070807000169

Address ID

UT841053208SA2000X900X300

Telehealth

Yes

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:19State licenses:2Digital endpointsOther names

903 INTERNAL MEDICINE in UT

Provider Addresses for BEVERLY CHANG (MD)

2000 S 900 E
SLC, UT 841053208
Phone: (801) 464-7660
Fax: (801) 464-7695
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 464-7660
Fax: (801) 464-7695
Type: Mailing

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: 2007-08-07

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20070807000169	I	Internal Medicine	UT	TBD

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 84105)

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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: 1850209420View full group profile

Name	Specialty	State
MR. SARUNAS SLIESORAITIS (DO, PHARM D)	-	OR
BRETT A CHRISTIAN (M.D.)	Diagnostic Radiology	UT
STEPHEN CRAIG MERRELL (M.D., M.P.H.)	Family Practice	UT
MIKHAIL SHIPOTKO (MD)	H O S P I T A L I S T	UT
RICHARD OTT (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	UT
MS. SHARON A KORHEL (APRN)	-	UT
DR. TIMOTHY TRASK (M.D.)	-	UT
JAMES F ORME (MD)	-	UT
JUNE C. STEINVORTH (MD)	Family Practice	UT
RYAN NELSON JONES (M.D.)	-	UT

Reviews

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Frequently asked questions

What number should I use to identify BEVERLY CHANG (MD) for billing?

Administrative and clinical systems typically use NPI 1780600973 for BEVERLY CHANG (MD).

Should I treat BEVERLY CHANG (MD) as an active provider?

Patients and plans typically see BEVERLY CHANG (MD) as active in the national extract.

What does the directory say BEVERLY CHANG (MD) does?

Insurance directories may phrase it differently, but here BEVERLY CHANG (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to BEVERLY CHANG (MD)?

BEVERLY CHANG (MD) shows a connection to Slc, Utah in registry-derived data.

Who maintains BEVERLY CHANG (MD)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.