JOAN CHYONG-WEN CHANG DO NPI 1063526291

NPI Information

NPI: 1063526291
Provider Name: JOAN CHYONG-WEN CHANG, DO
Classification: Internal Medicine - 207RG0300X
Specialization: Geriatric Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 8424 NAAB RD STE 1L
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-7780

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NPI Details

Joan Chyong-wen Chang, DO is a geriatric medicine internal medicine in Indianapolis, IN. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Joan Chyong-wen Chang, DO NPI is 1063526291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8424 NAAB RD STE 1L
INDIANAPOLIS, IN
ZIP 46260-954
Phone: (317) 338-7780

The NPI 1063526291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 10/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	253044	NEW YORK	No
2	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	02004731A	INDIANA	No
3	207R00000X	Internal Medicine		02004731A	INDIANA	No
4	207RG0300X	Internal Medicine	Geriatric Medicine	02004731A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J400004255	MEDICARE PIN	NEW YORK
2	0415706	OTHER	NEW YORK	INDEPENDENT HEALTH
3	03111199	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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