Active NPI
Amos Song, M.D.
- Physical Medicine & Rehabilitation Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD61302152
- Practice address
- 1035 116TH Ave NE
Bellevue, WA 98004-4604 - Phone
- (425) 688-5000
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | MD61302152 | WA | Primary |
Addresses
Primary practice location
1035 116TH Ave NE
Bellevue, WA 98004-4604
Mailing address
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321
Other practice location 2
Vanderbilt University Medical Ctr
1211 Medical Center Dr
Nashville, TN 37232-0001
Phone (615) 322-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Tulane University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
1135 116TH Ave NE
Suite 510
Bellevue, WA 98004-4630
Phone (425) 635-3450
1740 NW Maple St
Issaquah, WA 98027-8127
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
- Overlake Hospital Medical Center & Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61302152 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
1740 NW Maple St
Ste 111
Issaquah, WA 98027
Phone (425) 394-1200
6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Specialist
- Bellevue, WA
- NPI 1871745703
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1679006704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 116TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044604",
"telephone_number": "425-688-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 116TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044604",
"telephone_number": "425-688-5000"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Vanderbilt University Medical Ctr",
"address_2": "1211 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320001",
"country_code": "US",
"telephone_number": "615-322-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONG",
"first_name": "AMOS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2022-09-08",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "MD61302152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.