Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Tingting Chang, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1366860108

Katherine Tingting Chang, MD is an Obstetrics/Gynecology in Maple Grove, Minnesota. Graduated from Tufts University School of Medicine in 2014, 12 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Oregon.

Years since qualifying
12
Trained at
Tufts University School of Medicine
Licensed in
MN, OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9855 Hospital Dr Ste 275
Maple Grove, MN 55369-4778
Phone: (952) 993-3282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 240 E Huron St, Chicago, IL 60611-2909 — (312) 503-7975
  • 240 E Huron St, Chicago, IL 60611 — (312) 503-7975

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 71097 (MN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MD187417 (OR)

Record details

NPI number1366860108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2014
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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