Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073979332 Individual Practitioner Male Practitioner

Dr. Ki-Eun Chang , MD

Neurological Surgery • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Ki-Eun Chang, MD is a certified Neurological Surgery practicing in Providence, RI. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Chang delivers high-quality medical care to the local community at 593 EDDY STREET APC 6.

Dr. Chang does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

593 Eddy Street Apc 6

Providence, RI 029034923

Telephone 4017939166
Fax 4014442788
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Providence, RI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -8.2 yrs vs City Avg
City Avg: 19.2 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
42 Specialists

Practicing in Providence, RI (48 Statewide)

Telehealth Adoption Rate
38.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chang (11 Years) 11 Yrs
Providence Specialty Average (19.2 Years) 19.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-05-09
Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License RI MD18382

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License CA A147705

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shannon Fultz , NP

Nurse Practitioner

NPI 1023601069

Nurse Practitioner

Dr. Eileen Wang , MD

Anesthesiology - Pain Medicine

NPI 1033642871

Doctor of Medicine (M.D.)

Lori Oliver , ANP-BC

Nurse Practitioner - Adult Health

NPI 1053662833

ANPBC

Dr. Elias Shaaya , MD

Neurological Surgery

NPI 1053840827

Doctor of Medicine (M.D.)

NPI 1083335301

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Belinda Shao , MD, MPH

Neurological Surgery

NPI 1104483353

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location May 25, 2022

Registered at 593 EDDY STREET APC 6, PROVIDENCE, RI 029034923 (Tel: 4017939166)

📍
Updated Business Mailing Address May 25, 2022

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541

NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2017

Registered at 1200 N STATE ST STE 3300, LOS ANGELES, CA 900331029 (Tel: 7757506503)

📍
Updated Business Mailing Address July 28, 2017

Registered at 1200 N STATE STREET, SUITE 3300, LOS ANGELES, CA 90033

👤
Provider Name / Credentials Updated July 28, 2017

Recorded as KI-EUN CHANG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Neurological Surgery (License #A147705 in CA)

📍
Updated Business Mailing Address May 29, 2017

Registered at 1200 N STATE STREET, SUITE 3300, LOS ANGELES, CA 90033

👤
Provider Name / Credentials Updated May 29, 2017

Recorded as KI-EUN CHANG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2017

Neurological Surgery (License #A147705 in CA)

NPI Profile Active January 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2016

Registered at 375 E 2ND ST, #205, LOS ANGELES, CA 900124239 (Tel: 7757506503)

📍
Updated Business Mailing Address January 02, 2016

Registered at 375 E 2ND ST, #205, LOS ANGELES, CA 900124239

👤
Provider Name / Credentials Updated January 02, 2016

Recorded as KI-EUN CHANG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 02, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073979332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2016
Last Update: May 25, 2022
Sole Proprietor: Yes

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.