Individual provider Active NPI

Songul Atay, MD

  • Gastroenterology Physician
  • Fairfield, IA
National Provider Identifier
1124119185
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
37410 Issued in IA
Practice address
300 S Maple
Fairfield, IA 52556-3739
Phone
(641) 469-4204
Fax
(641) 469-4208
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 37410 IA Primary
Gastroenterology Physician 207RG0100X A64994 CA

Addresses

Primary practice location

300 S Maple
Fairfield, IA 52556-3739

Mailing address

300 S Maple
Fairfield, IA 52556-3739
Phone (641) 469-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20050108000188 CA Practitioner - Gastroenterology 5395793111 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64994CAMDGastroenterology Physician
37410IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors Gastroenterology CurrentSince Apr 1, 2013 Accepting new patients
United Medical Doctors CurrentSince Apr 1, 2013 Accepting new patients
Jefferson County Hospital Past Accepting new patients
Jefferson County Hospital Gastroenterology Past Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

10861 Cherry St
Ste 107
Los Alamitos, CA 90720
Phone (562) 430-4449

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1124119185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S MAPLE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563739",
            "telephone_number": "641-469-4204",
            "fax_number": "641-469-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAPLE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563739",
            "telephone_number": "641-469-4204",
            "fax_number": "641-469-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAY",
        "first_name": "SONGUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "37410",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A64994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.