BENJAMIN M. CHANG (DO) – Anesthesiology Physician, NPI 1275744195

BENJAMIN M. CHANG (DO) is a healthcare provider. based in Tacoma, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. M3979 (TX). The NPI Number for BENJAMIN M. CHANG (DO) is 1275744195

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN M. CHANG (DO)
NPI
1275744195
Phone
(253) 274-1668
Address
1102 A ST UNIT 1536
Enumeration Date
24 May 2007
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2532741668
Graduation Year
2003 (23 years ago)
PAC ID
3779642624
Group Practice PAC ID
6002704475
Professional Enrollment ID
I20250911004825
Address ID
WA984054234TA315XXWAYX600

Contacts

Secure Messaging
bchang12913@CookChildrens.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:19State licenses:2Other names

1,517 ANESTHESIOLOGY in WA

Provider Addresses for BENJAMIN M. CHANG (DO)

  • 1102 A ST UNIT 1536

    TACOMA, WA 984011210

    Phone: (253) 274-1668

    Type: Location

  • 1102 A ST UNIT 1102A

    TACOMA, WA 984011178

    Phone: (253) 274-1668

    Type: Mailing

  • 801 7th Ave

    Fort Worth, TX 761042733

    Phone: (682) 885-4054

    Fax: (682) 885-7497

    Type: Location

  • PO BOX 733784

    DALLAS, TX 753733784

    Phone: (682) 885-1855

    Fax: (682) 885-1396

    Type: Mailing

  • FT, R 42, Zieglöde, Frauenzell, Wiesent, Wörth an der Donau (VGem), Landkreis Regensburg, Bavaria, 93109, Germany

    FORT WORTH, TX 761990371

    Phone: (682) 885-1855

    Fax: (682) 885-7347

    Type: Mailing

  • Cook Children's Medical Center, 801, 7th Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761042733

    Phone: (682) 885-4054

    Fax: (682) 885-7497

    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: 2025-09-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081106000354IAnesthesiologyTXTBD
I20250911004825IAnesthesiologyWATBD

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 98401)

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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: 6002704475View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA

Reviews

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Frequently asked questions

How do payers reference BENJAMIN M. CHANG (DO)?
For BENJAMIN M. CHANG (DO), use NPI 1275744195 as the unique 10-digit identifier.
Active or inactive — what applies to BENJAMIN M. CHANG (DO)?
You should see BENJAMIN M. CHANG (DO) as active in CMS-hosted NPPES data.
What clinical focus is listed for BENJAMIN M. CHANG (DO)?
At a glance, BENJAMIN M. CHANG (DO) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BENJAMIN M. CHANG (DO)?
Travel planning: use Tacoma, Washington as the reference point for BENJAMIN M. CHANG (DO), then confirm.
Does BENJAMIN M. CHANG (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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