Randolph Y Chang (NPI# 1497781488, PAC ID# 0648174235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1497781488 |
| PAC ID by PECOS | 0648174235 |
| Professional Enrollment ID | I20031125000346 |
| Full Name | Randolph Y Chang |
| Organization Legal Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Address |
10215 W Roosevelt Rd Suite A Westchester IL 60154-2555 |
| Phone Number | 7084837007 |
| Gender | M |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1990 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 5294628046 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140114 | SWEDISH COVENANT HOSPITAL |
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| Address | Phone | Organization |
|---|---|---|
| 11456 S Broadway, Crown Point, IN 46307-7106 | 2194880154 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| 7905 Calumet Ave, Rm 1146, Munster, IN 46321-2549 | 2194880154 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| 10215 W Roosevelt Rd, Suite A, Westchester, IL 60154-2555 | 7084837007 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sridhar Vallabhaneni | Physical Medicine and Rehabilitation | Advanced Pain and Anesthesia Consultants, PC | 2450 S Wolf Rd D, Westchester, IL 60154-5643 |
| Ryan Marshall Unger | Physical Medicine and Rehabilitation | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Timothy King | Pain Management | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Todd S Hagle | Internal Medicine | Advanced Pain and Anesthesia Consultants, PC | 2740 W Foster Ave, Suite 301, Chicago, IL 60625-3526 |
| Nicole Denise Wilbanks | Nurse Practitioner | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Julie Rowin | Neurology | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Shreyasi Harsh Dalal | Anesthesiology | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Rana F Mafee | Neurology | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Street Address |
10215 W ROOSEVELT RD SUITE A |
| City | WESTCHESTER |
| State | IL |
| Zip | 60154-2555 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette Demarshimun | Clinical Social Worker | 10526 W Cermark Rd, Suite 117, Westchester, IL 60154 | |
| Michael S Farhi | Neurology | 947 S Mannheim Rd, Westchester, IL 60154-2515 | |
| Samir Bhalla | Geriatric Medicine | 10330 W Roosevelt Rd, Suite 200, Westchester, IL 60154-2564 | |
| Mohammad T K Ghani | Allergy/immunology | 10001 W Roosevelt Rd, Suite 304, Westchester, IL 60154-2662 | |
| Livio J Parolin | Podiatry | 10055 W Roosevelt Rd, Westchester, IL 60154-2671 | |
| Kinga A Cachro | Clinical Social Worker | Presence Behavioral Health | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 |
| Sibil R Kuruvilla | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Cindy S Castro | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Lorraine C Gade | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Gloria Ibarra | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Find all physicians in zip 60154 | |||
| City | WESTCHESTER |
| Zip Code | 60154 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | WESTCHESTER + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Randolph Y Chang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.