CHANG S JOO MD NPI 1508868787

NPI Information

  • NPI: 1508868787
  • Provider Name: CHANG S JOO, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 305 E GRANGER AVE
    STE 202
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 526-1606

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NPI Details

Chang S Joo, MD is a nephrology internal medicine in Modesto, CA with 45 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Chang S Joo, MD NPI is 1508868787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

305 E GRANGER AVE
STE 202
MODESTO, CA
ZIP 95350-344
Phone: (209) 526-1606
Fax: (209) 526-1677

The NPI 1508868787 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 6/1/2005 and was last updated on 2/22/2008.

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
1207RN0300XInternal MedicineNephrologyA481920CALIFORNIAYes

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
100A481920MEDICAIDCALIFORNIA
200A481922MEDICARE PINCALIFORNIA
3F86579MEDICARE UPINCALIFORNIA

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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