NPIMap

Individual provider Active NPI

Michael H Song, M.D.

  • Neurological Surgery Physician
  • Reno, NV
National Provider Identifier
1124067491
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
10771 Issued in NV
Practice address
343 Elm St
Suite 202
Reno, NV 89503-4522
Phone
(775) 323-6100
Fax
(775) 323-6118
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 10771 NV Primary

Addresses

Primary practice location

343 Elm St
Suite 202
Reno, NV 89503-4522

Mailing address

343 Elm St
Suite 202
Reno, NV 89503-4522
Phone (775) 323-6100

Other identifiers 3

IdentifierTypeStateIssuer
CC7555OtherNVBLUE CROSS BLUE SHIELD
100502786MedicaidNV
880167036A022OtherNVTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001163 NV Practitioner - Neurosurgery 8426048836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Indiana University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Michael H Song MD LTDGroup PAC ID 5597765016, 5 clinicians

Practice addresses (Care Compare)

1470 Medical Pkwy
Suite 240
Carson City, NV 89703-4647
Phone (775) 323-6100

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000

Hospital & facility affiliations

  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Northern Inyo Hospital Hospital, Bishop, CA, CCN 051324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion228
Laminectomy or laminotomy (partial removal of spine bones)160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10771NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Song Professional Services , PLLC Current Accepting new patients
Michael H Song MD LTD Neurological Surgery CurrentSince Oct 24, 2006 Accepting new patients
Michael H Song MD LTD Neurological Surgery CurrentSince Oct 24, 2006 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Michael H Song MD LTD Neurological Surgery Past Accepting new patients
Michael H Song MD LTD Neurological Surgery Past Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients

Locations

1470 Medical Pkwy
Ste 240
Carson City, NV 89703
Phone (775) 323-6100

2098 Idaho St
Elko, NV 89801
Phone (775) 323-6100

10509 Professional Cir
Ste 101
Reno, NV 89521
Phone (775) 313-9120

343 Elm St
Ste 202
Reno, NV 89503
Phone (775) 323-6100

10791 Double R Blvd
Reno, NV 89521
Phone (775) 284-2020

Interoperability endpoints

  • Direct secure messaging: michael.song.p4@direct.elkochc.nextgenshare.com
  • Direct secure messaging: michael.song.p2@direct.elkochc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICJCAA/Endpoint/ICJCAA
  • Direct secure messaging: michael.song@an.eclinicaldirectplus.com
  • Direct secure messaging: michael.song.p1@direct.elkochc.nextgenshare.com
  • Direct secure messaging: michael.song.p3@direct.elkochc.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1124067491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 ELM ST",
            "address_2": "SUITE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034522",
            "telephone_number": "775-323-6100",
            "fax_number": "775-323-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 ELM ST",
            "address_2": "SUITE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034522",
            "telephone_number": "775-323-6100",
            "fax_number": "775-323-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "10771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CC7555",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502786",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "880167036A022",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.