Active NPI
Katherine Jihye Song, PA-C
- Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1831721406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007268
- Practice address
- 225 Clearfield Ave
Virginia Beach, VA 23462-1815 - Phone
- (757) 452-3599
- Fax
- (757) 961-3696
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110007268 | VA | Primary |
Addresses
Primary practice location
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Mailing address
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 452-3599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 452-3599
229 Clearfield Ave
Suite 300
Virginia Beach, VA 23462-1815
Phone (757) 457-5177
7185 Harbour Towne Pkwy S
Suite 200
Suffolk, VA 23435-3796
Phone (757) 457-5100
Hospital & facility affiliations
- Sentara Virginia Beach General Hospital
- Sentara Princess Anne Hospital
- Sentara Leigh Hospital
- Sentara Norfolk General Hospital
- Bon Secours Maryview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.25 of 100
- Quality
- 57.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110007268 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of Virginia, PLLC | Single Specialty | Current | Accepting new patients |
| Urology of Virginia, PLLC | Single Specialty | Current | Accepting new patients |
Locations
225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459
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 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1831721406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-452-3599",
"fax_number": "757-961-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-452-3599",
"fax_number": "757-961-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "KATHERINE",
"middle_name": "JIHYE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.