Qilin Song, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

2009-01315 Issued in NC

Practice address

576 Jefferson Ave. McDonald Army Medical Health Center
Fort Eustis, VA 23604-5548

Phone

(757) 314-7522

NPI assigned

Feb 18, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1780823567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE",
            "address_2": "MCDONALD ARMY HEALTH CENTER",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236045548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE. MCDONALD ARMY MEDICAL HEALTH CENTER",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236045548",
            "telephone_number": "757-314-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "QILIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2022-11-30",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NC",
            "license": "2009-01315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rene Singalewitch, RN
• Gurbhajan Singh, D.D.S.
• Herbert Wayne Smiley, PA
• Alan D Smith, DMD
• Challis H. Smith, RN
• Gail Sparks
• Victoria Marie Spinelli, LCSW, CSAC
• Rhonda Springer, M.D.
• Kathleen Marie Stack, MD
• Dianna Hopkins Starmer, LCSW

• Public Health & General Preventive Medicine Physician in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Public Health & General Preventive Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.