Active NPI
Songul Atay, MD
- Gastroenterology Physician
- Fairfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 37410
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A64994 | CA | MD | Gastroenterology Physician |
| 37410 | IA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Gastroenterology | Current | Accepting new patients |
| United Medical Doctors | Current | 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
- 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.
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-
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- Richland, IA
- NPI 1881294536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.