MS. MARY W CHANG (MD) – Pediatric Dermatology Physician, NPI 1962407718
Pediatric Dermatology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. MARY W CHANG (MD)
DEPARTMENT OF DERMATOLOGY UCONN HEALTH
21 SOUTH RD, 2ND FLOOR
FARMINGTON, CT 06032
Phone: (860) 679-4600
Fax: (860) 679-7534
Type: Mailing
65, Memorial Road, West Hartford, Hartford County, Connecticut, 06107, United States
SUITE 450
WEST HARTFORD, CT 061072434
Phone: (860) 523-1087
Fax: (860) 523-1472
Type: Mailing
UCONN DERMATOLOGY
21 SOUTH ROAD, 2ND FLOOR
FARMINGTON, CT 06032
Phone: (860) 679-4600
Fax: (860) 679-7534
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $636.
Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: NOBELPHARMA AMERICA, LLC ($400).
Total Amount
$636
General + Research + Ownership
Payments
6
Total payment records
General Amount
$636
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NOBELPHARMA AMERICA, LLC | $400 |
| LEO Pharma Inc. | $136 |
| GENZYME CORPORATION | $71 |
| PFIZER INC. | $29 |
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: 2005-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050302000632 | I | Dermatology | CT | 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 06032)
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