Jeremy John Song, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

27196 Issued in NV

Practice address

6630 S McCarran Blvd Ste 202
Reno, NV 89509-6186

Phone

(775) 525-9151

NPI assigned

Mar 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, CA, MO, NV4 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 4

Specialty

Thoracic SurgeryAlso: Cardiac Surgery

Education

University of California, Irvine, California College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: csong245712@mhsdirect.net

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.

• Northern Nevada Medical Group, LLC

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1972751618

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Halifax Healthcare Systems Inc

  dba HHCSI Halifax Family Health Center

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Boone Physician Services, LLC

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1760893259
  Medicare reassignment NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510

  Multi-Specialty

  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631

  Multi-Specialty

  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  dba Mercy Clinic Family Medicine-Willow Springs

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657

  Multi-Specialty

  Medicare reassignment NPD
• Ocala Health Surgical Group LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ocala, FL
  • NPI 1659540524

  Multi-Specialty

  Medicare reassignment NPD
• Shamsuddin Khwaja M D Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Clovis, CA
  • NPI 1699006650

  Multi-Specialty

  Medicare reassignment NPD
• South Broward Hospital District

  dba Memorial Division of Pediatric Nephrology

  • Pediatric Nephrology Physician
  • Hollywood, FL
  • NPI 1467468496

  Multi-Specialty

  Medicare reassignment NPD
• South Broward Hospital District

  dba Memorial Division of Thoracic Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hollywood, FL
  • NPI 1518195882

  Multi-Specialty

  Medicare reassignment NPD
• South Broward Hospital District

  dba Memorial Division of Cardiac Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hollywood, FL
  • NPI 1538497086

  Multi-Specialty

  Medicare reassignment NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721

  Multi-Specialty

  NPD

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

• Sparks Family Hospital Inc

  dba ER at Damonte Ranch an Ext of Northern Nevada Medical Center

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1346934569

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  dba ER at North Valleys an Extension of Northern Nevada Medical Center

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1366232993

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  dba Northern Nevada Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  Care Compare affiliation
• Sparks Family Hospital Inc

  dba Sierra Medical Center an Ext of Northern Nevada Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1609451327
  Care Compare affiliation
• Sparks Family Hospital Inc

  dba ER at McCarran NW

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1689229353

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  dba ER at Spanish Springs an extension of Northern Nevada Medical Center

  • Emergency Care Clinic/Center
  • Sparks, NV
  • NPI 1952049132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1467879379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096186",
            "telephone_number": "775-525-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096186",
            "telephone_number": "775-525-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JEREMY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME143653",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NV",
            "license": "27196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106741100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Somoza
• Hilary Joy Son, PSY.D.
• James Son, DPT
• Sonder Counseling & Psychotherapy, LLC
• Justin John Sonderegger, MD
• Michael H Song, M.D.
• Terry Song, DDS
• Austin Tyler Songer, CPHT
• Zeal Rajeshbhai Soni
• Kaylen Soo

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Reno, NV
• Providers in Reno, NV by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.