NPIMap

Organization Active NPI

Michael H Song MD LTD

Doing business as Advanced Neurosurgery

  • Neurological Surgery Physician
  • Reno, NV
National Provider Identifier
1710933213
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MICHAEL H SONG MD LTD
Doing business as
Advanced Neurosurgery
Practice address
10509 Professional Circle
Suite 101
Reno, NV 89521-4883
Phone
(775) 323-6100
Fax
(775) 323-6118
NPI assigned
May 26, 2006
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dr. Michael H Song, M.D.NPI 1124067491
Title
MD/President
Phone
(775) 323-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

10509 Professional Circle
Suite 101
Reno, NV 89521-4883

Mailing address

PO Box 19908
Reno, NV 89511-2554
Phone (775) 747-5050

Other names 1

  • Advanced Neurosurgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070108000264 NV Part B Supplier - Clinic/Group Practice 5597765016 Receives reassigned benefits from 24 practitioners
Practice locations: Carson City, NV; Elko, NV; Reno, NV; Sparks, NV
O20100930085216 NV DME Supplier - Physician - General Practice 5597765016 Practice locations: Reno, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

10509 Professional Cir
Ste 101
Reno, NV 89521
Phone (775) 313-9120

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1710933213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19908",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112554",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10509 PROFESSIONAL CIRCLE",
            "address_2": "SUITE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214883",
            "telephone_number": "775-323-6100",
            "fax_number": "775-323-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H SONG MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "775-323-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.