Jinming Song, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2009019571 Issued in MO

Practice address

9406 E 63Rd St
Raytown, MO 64133-4904

Phone

(816) 404-8029

NPI assigned

Aug 31, 2006

Last updated

Jul 16, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO

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

Family Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102
• Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Community Memorial Hospital District

  dba Ellett Memorial Hospital

  • Critical Access Hospital
  • Appleton City, MO
  • NPI 1609894716
  NPD (past)
• Community Memorial Hospital District

  dba AC Rural Health Clinic

  • Family Medicine Physician
  • Appleton City, MO
  • NPI 1619117256
  NPD (past)
• Truman Medical Center, Incorporated

  • State or Local Public Health Clinic/Center
  • Lee's Summit, MO
  • NPI 1861697955
  NPD (past)
• Mercy Health Services-Iowa Corp

  dba MercyOne Northwood Pharmacy

  • Community/Retail Pharmacy
  • Northwood, IA
  • NPI 1316909484
  NPD (past)

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

• Truman Medical Center, Incorporated

  dba University Health Lakewood Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1376686600
  Care Compare affiliation
• Truman Medical Center, Incorporated

  dba University Health Truman Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1467595793
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1154432631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 E 63RD ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334904",
            "telephone_number": "816-404-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 E 63RD ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334904",
            "telephone_number": "816-404-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JINMING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009019571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Nelson Smith, RD
• Charles P Smith, R.N.
• Gary L. Smith, D.D.S.
• Lashae Smith, BSW MSW LMSW
• Caroline Song, MA, PLPC
• Special People Requiring Unique Care Equally (S.P.R.U.C.E.)
• Spine & Extremity Rehabilitation Center of Raytown, Inc. (SERC of Raytown, SERC of South Raytown, SERC of Belton)
• Spine and Extremity Rehabilitation Center of Raytown Inc (SERC of Raytown; SERC of South Raytown; SERC of Belton)
• Spiral Residential Home and Respite Care, LLC
• Caitlin Jeanette Sprott

• Family Medicine Physician in Raytown, MO
• Providers in Raytown, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.