Somprasong Songcharoen, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

07162 Issued in MS

Practice address

160 Fountains Blvd Ste B
Madison, MS 39110

Phone

(601) 981-2525

Fax

(601) 981-3152

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Premier Plastic Surgery PLLCGroup PAC ID 6204997679, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssongcharoen2829587@direct.casso.us.com

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.

• Mississippi Premier Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Madison, MS
  • NPI 1639320864

  Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Plastic & Hand Surgery Associates PLLC

  • Plastic Surgery Physician
  • Flowood, MS
  • NPI 1932126695
  NPD (past)
• S Songcharoen MD, Facs, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Jackson, MS
  • NPI 1215100599

  Plastic Surgery

  NPD (past)
• St. Dominic Jackson Memorial

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1235173691
  NPD (past)
• University Radiation Oncology Consultants, PLLC

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1316026818
  NPD (past)
• University Surgery Associates, PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jackson, MS
  • NPI 1356451652

  Plastic Surgery

  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1689615486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106343",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Lakeland Dr Ste 315",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164607",
            "country_code": "US",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Fountains Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "39110",
            "country_code": "US",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONGCHAROEN",
        "first_name": "SOMPRASONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "07162",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MS",
            "license": "07162",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MS",
            "license": "07162",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "07162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L. Smith, DMD
• William H. Smith Jr., M.D.
• James Adam Smitherman, MD
• Carrie Tilley Snyder, AU.D
• Meri Claire Soldevila, OT
• Southern Spine Family Chiropractic PLLC
• Southern Transitional Care
• Betty Lee Spencer, LCSW
• Emily W Spring, SLP
• Sprout Pediatric Therapy, LLC

• Plastic and Reconstructive Surgery Physician in Madison, MS
• Providers in Madison, MS by specialty
• Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.