Song Song, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

158907 Issued in MA

Practice address

295 Varnum Ave
Anesthetics of Lowell, PC
Lowell, MA 01854-2134

Phone

(978) 454-0941

Fax

(978) 458-0743

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthetic Solutions PCGroup PAC ID 0648371740, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Anesthetic Solutions PC

  • Anesthesiology Physician
  • Andover, MA
  • NPI 1306041603
  Medicare reassignment Care Compare group NPD
• Anesthetics of Lowell, PC

  • Anesthesiology Physician
  • Lowell, MA
  • NPI 1609822212
  NPD (past)
• Anesthetics of Massachusetts, PC

  • Certified Registered Nurse Anesthetist
  • Melrose, MA
  • NPI 1386695534

  Anesthesiology

  NPD (past)
• LGH Medical Group, Inc.

  • Hospitalist Physician
  • Lowell, MA
  • NPI 1174698385
  NPD (past)
• LGH Professional Services LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1417485541
  NPD (past)
• Metropolitan Anesthesia, LLC

  • Anesthesiology Physician
  • Melrose, MA
  • NPI 1043498686
  NPD (past)
• Anesthetics of New Hampshire, PC

  • Certified Registered Nurse Anesthetist
  • Derry, NH
  • NPI 1750332466

  Anesthesiology

  NPD (past)
• Nashua Anesthesia Partners

  • Anesthesiology Physician
  • Nashua, NH
  • NPI 1124073945
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124081062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LOJKO DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622298",
            "fax_number": "401-490-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "address_2": "ANESTHETICS OF LOWELL, PC",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-454-0941",
            "fax_number": "978-458-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "SONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "158907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3205649",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maliss Phay Som, MSW
• Paul Rith Som
• Carin Somers
• Somerset Long Term Care II,LLC
• Raksa Chet Son, PA-C
• Pamela L Sonnen, LICSW
• Derek Soohoo, LMT MMP
• Sophie Dipillo Advocacy Group, Inc.
• Sarun Sophuok, MSW
• Nathaniel Sorese

• Anesthesiology Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.