Individual provider Active NPI

Song C Chon, M.D, FCCP

  • Pulmonary Disease Physician
  • White Plains, MD
National Provider Identifier
1821069204
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0037174 Issued in MD
Practice address
4475 Regency PL Ste 303
White Plains, MD 20695-3077
Phone
(301) 645-3420
Fax
(301) 645-3423
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X D37174 MD
Pulmonary Disease Physician 207RP1001X D0037174 MD Primary

Addresses

Primary practice location

4475 Regency PL Ste 303
White Plains, MD 20695-3077

Mailing address

4475 Regency PL Ste 303
White Plains, MD 20695-3077
Phone (301) 645-3420

Other identifiers 3

IdentifierTypeStateIssuer
263154YL6COtherMCR NUMBER
060031800MedicaidMD
290014253OtherMDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070920000174 DC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8426142514 Reassigns benefits to 1 organization
I20101210000059 MD Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8426142514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lung and Sleep Institute LLCGroup PAC ID 2961656152, 2 clinicians

Practice addresses (Care Compare)

4475 Regency PL
Suite 303
White Plains, MD 20695-3077
Phone 3016453420103

4475 Regency Place
Suite 303
White Plains, MD 20695-3077

Hospital & facility affiliations

  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

Merit-based Incentive Payment System (MIPS)

Final score
94.56 of 100Reported as group
Quality
90.96
Promoting interoperability
100
Improvement activities
40
Cost
79.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lung & Sleep Institute LLC Pulmonary Disease CurrentSince Sep 1, 2012 Accepting new patients
Sanjeeb K. Mishra M.D., P.a. Chartered Past Accepting new patients

Locations

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

3575 Old Washington Rd
Ste C
Waldorf, MD 20602
Phone (301) 638-5500

4475 Regency Pl
Ste 303
White Plains, MD 20695
Phone (301) 645-3420

4475 Regency Pl
Ste 304
White Plains, MD 20695

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13367/brand/1/csg/1/fhir/r4
  • Direct secure messaging: schon549916@direct.umm.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1821069204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL STE 303",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953077",
            "telephone_number": "301-645-3420",
            "fax_number": "301-645-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL STE 303",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953077",
            "telephone_number": "301-645-3420",
            "fax_number": "301-645-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON",
        "first_name": "SONG",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.D, FCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D37174",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0037174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR NUMBER",
            "identifier": "263154YL6C",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060031800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290014253",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.