Jonathan K Song, D.O.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

OP70102133 Issued in WA

Practice address

1628 S Mildred St Ste 102
Tacoma, WA 98465-1628

Phone

(206) 538-6300

Fax

(206) 538-6301

NPI assigned

Apr 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, WA2 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

Specialty

Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pain Care Physicians PLLCGroup PAC ID 9537448931, shared by 4 NPIs, 13 clinicians

Ajay Narwani MD PLLCGroup PAC ID 9234227679, 5 clinicians

Phoenix Neurological Institute, IncGroup PAC ID 9931287711, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ajay Narwani MD PLLC

  • Anesthesiology Physician
  • Gilbert, AZ
  • NPI 1275736829
  Medicare reassignment Care Compare group NPD
• Phoenix Neurological Institute, Inc

  • Neurology Physician
  • Chandler, AZ
  • NPI 1336319086

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Arizona Pain Specialists, PLLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1700030939

  Pain Medicine

  Medicare reassignment NPD
• Laser Surgery Holding Company, LTD

  • Interventional Cardiology Physician
  • Phoenix, AZ
  • NPI 1295592731
  Medicare reassignment NPD
• Valley Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1285660704

  Pain Medicine

  Medicare reassignment NPD
• Jonathan Song

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1235932708
  NPD Authorized official
• Arizona Pain Specialists, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Denver, CO
  • NPI 1245682970
  NPD
• Laser Surgery Holding Company, LTD

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
  • NPI 1285466037
  NPD
• Phoenician Medical Center, Inc

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1891895637
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1902260227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121351",
            "telephone_number": "602-262-8917",
            "fax_number": "602-262-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 S MILDRED ST STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651628",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Lilly Rd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065028",
            "country_code": "US",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13943 N 91st Ave Bldg E",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853813629",
            "country_code": "US",
            "telephone_number": "602-262-8917",
            "fax_number": "602-262-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "JONATHAN",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "009208",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WA",
            "license": "OP70102133",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "009208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Son Bui DMD PLLC
• Brady T Son, MD
• Andy Song, BCBA
• Chusuk Song, R.N.
• Jamie Song, AU.D.
• Joon Kyung Song, MD
• Samuel Wei-Hua Song, DO
• Serafina Austen Song, M.D.
• Ziheng Song, PHD
• Krissy Martina Manglona Songao

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.

Verify at the official NPI Registry.