NPIMap

Individual provider Active NPI

Oliver Chambers Songlingco, M.D.

  • Nephrology Physician
  • Saint Joseph, MI
National Provider Identifier
1891887964
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301079124 Issued in MI
Practice address
3800 Hollywood Rd
Suite 104
Saint Joseph, MI 49085-8510
Phone
(269) 428-0819
Fax
(269) 428-0841
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301079124 MI Primary

Addresses

Primary practice location

3800 Hollywood Rd
Suite 104
Saint Joseph, MI 49085-8510

Mailing address

3800 Hollywood Rd
Suite 104
Saint Joseph, MI 49085-8510
Phone (269) 428-0819

Other identifiers 1

IdentifierTypeStateIssuer
4382047MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000352 MI Practitioner - NephrologyPractitioner - Internal Medicine 4082691522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Michigan Nephrology LLCGroup PAC ID 2062511629, 6 clinicians

Practice addresses (Care Compare)

16 S Saint Joseph Ave
Joseph Ave
Niles, MI 49120-2847
Phone (269) 428-0819

3800 Hollywood Rd
Saint Joseph, MI 49085-8511
Phone (269) 428-0819

Hospital & facility affiliations

  • Liberty Dialysis at Lakeland - Niles Dialysis facility, Niles, MI, CCN 232668
  • Fresenius Medical Care at Benton Harbor Dialysis facility, Benton Harbor, MI, CCN 232688
  • Premier Dialysis Service West Michigan LLC Dialysis facility, Kalamazoo, MI, CCN 232756
  • Usrc Watervliet Dialysis Dialysis facility, Watervliet, MI, CCN 232671
  • Premier Dialysis Service Lapeer LLC Dialysis facility, Lapeer, MI, CCN 232743
  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
  • Corewell Health Watervliet Hospital Hospital, Watervliet, MI, CCN 230078
  • Ascension Borgess Lee Hospital Hospital, Dowagiac, MI, CCN 231315
  • Bronson South Haven Hospital Hospital, South Haven, MI, CCN 230085

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301079124MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niles Professional Services, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: osonglingco1272085@epic00.shdirect.org
  • Direct secure messaging: osonglingco7673@lakeland.midirect.net

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 8

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891887964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGLINGCO",
        "first_name": "OLIVER",
        "middle_name": "CHAMBERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301079124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4382047",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.