Seokhan Song, D.O., M.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

011740 Issued in AZ

Practice address

14678 N del Webb Blvd
Sun City, AZ 85351-2137

Phone

(623) 933-8289

Fax

(623) 933-2596

NPI assigned

Jun 12, 2013

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 names 1

• Dr. Kyle Song Other name

Medicare fee-for-service enrollment

Enrolled in VA, IA, AZ3 enrollments

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 3

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maxwell GroupGroup PAC ID 3870570468, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health of Beech Home health agency, Sun City West, AZ, CCN 037413
• Emblem Home Health Phoenix Home health agency, Phoenix, AZ, CCN 037438
• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Virginia Gay Hospital Hospital, Vinton, IA, CCN 161349
• The Vinton Lutheran Home Nursing home, Vinton, IA, CCN 165552

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssong812023@direct.unitypoint.org

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.

• Maxwell Group

  • Internal Medicine Physician
  • Sun City, AZ
  • NPI 1912188384
  Medicare reassignment Care Compare group NPD
• Fauquier Physician Practices LLC

  • Internal Medicine Physician
  • Warrenton, VA
  • NPI 1770916983

  Family Medicine

  Medicare reassignment NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Front Royal Family Practice, P.C.

  • Family Medicine Physician
  • Front Royal, VA
  • NPI 1750434072
  NPD (past)
• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  NPD (past)

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

• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Beech Home Care & Medical, Inc.

  • Home Health Agency
  • Sun City West, AZ
  • NPI 1376782987
  Care Compare affiliation
• Rock Garden Healthcare LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1033715222
  Care Compare affiliation
• Lutheran Home for the Aged Association-East

  • Skilled Nursing Facility
  • Vinton, IA
  • NPI 1770653867

  Nursing home

  Care Compare affiliation
• Virginia Gay Hospital, Inc

  • Critical Access Hospital
  • Vinton, IA
  • NPI 1164486726
  Care Compare affiliation

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1194163170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14678 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512137",
            "telephone_number": "623-933-8289",
            "fax_number": "623-933-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14678 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512137",
            "telephone_number": "623-933-8289",
            "fax_number": "623-933-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "SEOKHAN",
        "name_prefix": "Dr.",
        "credential": "D.O., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "011740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "SONG",
            "prefix": "DR.",
            "credential": "D.O., M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• SNH SE Tenant TRS, Inc
• Dawna Snider, LAC
• Timothy Joel Sobczak, RN
• Dana K Sochacki, NP
• David Barry Solomon, M.D.
• Devendra Soni, M.D.
• Vidushi Soni, MD
• Sonora Quest Laboratories LLC
• Sonus-USA, Inc.
• Neal Sorenson

• Family Medicine Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.