DR. PETER H CHANG (DO) – Pediatric Cardiology Physician, NPI 1003926189
Pediatric Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
648 PEDIATRIC MEDICINE in WA
Provider Addresses for DR. PETER H CHANG (DO)
1615 Delaware St
Longview, WA 986322367
Phone: (360) 414-2385
Fax: (360) 414-2386
Type: Location
300 N GRAHAM ST STE 250
PORTLAND, OR 972271666
Phone: (503) 280-3418
Fax: (503) 284-7885
Type: Location
Legacy Emanuel Medical Center, 501, North Graham Street, Albina, Eliot, Portland, Multnomah County, Oregon, 97227, United States
SUITE 220
PORTLAND, OR 972272014
Phone: (503) 280-3418
Type: Location
Surrey Parks 110A Sullivan Street Sports Box, Sullivan Street, Crescent Beach, South Surrey, Surrey, Metro Vancouver Regional District, British Columbia, V4A 3V2, Canada
VANCOUVER, WA 986820030
Phone: (360) 687-5221
Fax: (360) 666-0466
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Medtronic, Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $13 |
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: 2011-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070108000185 | I | Pediatric Medicine | OR | TBD |
| I20110511000391 | I | Pediatric Medicine | WA | 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.
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 98632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | CA | |
| Cardiovascular Disease (Cardiology), Pediatric Medicine | IN | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | OR | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | WA |
Reviews
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