MRS. CAROL SOO-JUNG CHANG (M.D.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1487622262

MRS. CAROL SOO-JUNG CHANG (M.D.) is a healthcare provider. based in Herndon, Virginia. specializing in INTERNAL MEDICINE, HOSPICE/PALLIATIVE CARE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 0101239515 (VA). The NPI Number for MRS. CAROL SOO-JUNG CHANG (M.D.) is 1487622262

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAROL SOO-JUNG CHANG (M.D.)
NPI
1487622262
Phone
(703) 955-2477
Address
2855 Cherry Branch Ln
Enumeration Date
9 March 2006
Last Update Date
1 June 2021

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
3016185700
Graduation Year
1999 (27 years ago)
PAC ID
3971527599
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20060928000285
Address ID
MD207745374LA1221XLNXX300

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

4,930 INTERNAL MEDICINE in VA

Provider Addresses for MRS. CAROL SOO-JUNG CHANG (M.D.)

  • 2855 Cherry Branch Ln

    Herndon, VA 201713843

    Phone: (703) 955-2477

    Type: Location

  • 1701 N GEORGE MASON DR

    ARLINGTON, VA 222053610

    Phone: (703) 955-2477

    Type: Location

  • 2855 CHERRY BRANCH LN

    HERNDON, VA 201713843

    Phone:

    Type: Mailing

  • 13135, Lee Jackson Memorial Highway, Chantilly, Fairfax (city), Virginia, 22033, United States

    #135

    FAIRFAX, VA 220331907

    Phone: (703) 961-0488

    Fax: (703) 961-0480

    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: 2006-09-28

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
I20060928000285IInternal MedicineDCTBD

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 20171)

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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

Does MRS. CAROL SOO-JUNG CHANG (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. CAROL SOO-JUNG CHANG (M.D.) uses 1487622262.
Can I rely on MRS. CAROL SOO-JUNG CHANG (M.D.) being an active provider?
As of the registry snapshot, MRS. CAROL SOO-JUNG CHANG (M.D.) is marked active.
What is MRS. CAROL SOO-JUNG CHANG (M.D.)'s primary classification?
Hospice and Palliative Medicine (Internal Medicine) Physician is the headline specialty for MRS. CAROL SOO-JUNG CHANG (M.D.) here. Clinical services aligned with this taxonomy classification.
Does MRS. CAROL SOO-JUNG CHANG (M.D.) list a practice location?
Patients near Herndon, Virginia may find MRS. CAROL SOO-JUNG CHANG (M.D.) in results; validate coverage separately.
Is the information about MRS. CAROL SOO-JUNG CHANG (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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