Jaeha Song, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD-000896 Issued in AZ

Practice address

3570 S Val Vista Dr Ste 104
Gilbert, AZ 85297-7327

Phone

(480) 900-9343

Fax

(480) 400-9229

NPI assigned

Jul 9, 2014

Sex

Male

Sole proprietor

Yes

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 AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livi Medical Services LLCGroup PAC ID 8820283039, 11 clinicians

Traction Podiatry GroupGroup PAC ID 3577914639, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.06 of 100Reported as individual

Quality

64.35

Promoting interoperability

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaeha.song.1@27970.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Livi Medical Services LLC

  dba Elevation Primary and Palliative

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1457667750
  Medicare reassignment Care Compare group NPD
• Jaeha Song DPM PLLC

  • Podiatrist
  • Phoenix, AZ
  • NPI 1528991213
  Medicare reassignment NPD (past) Authorized official
• Traction Podiatry Group

  • Sports Medicine Podiatrist
  • Gilbert, AZ
  • NPI 1780385005
  Care Compare group NPD

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1700292877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 S VAL VISTA DR STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977327",
            "telephone_number": "480-900-9343",
            "fax_number": "480-400-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 S VAL VISTA DR STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977327",
            "telephone_number": "480-900-9343",
            "fax_number": "480-400-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JAEHA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-000896",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006500",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "65P97423",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD-000896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Something New Counseling and Consultation LLC
• Jamie Sommerfeldt, PA-C
• Crystal Song, NMD
• Edward W Song, M.D.
• Francis Feng Song, M.D., MPH, MS
• Sonoma Oral & Facial Surgery, PLLC
• Sonoran Endocrinology LLC
• Sonoran Surgical Assisting
• Sonoran Valley Home Care Inc.
• Sonoran Vista Dentistry

• Podiatrist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.