Individual provider Active NPI

Kaoru Hashimoto Song, MD

  • Family Medicine Physician
  • Apo, CA
National Provider Identifier
1902306400
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32109 Issued in NE
Practice address
Brian D. Allgood Army Community Hospital (Bdaach)
Unit #15245; BLDG 3031
Apo, CA 96271
Phone
(315) 737-3554
NPI assigned
Feb 20, 2018
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32109 NE Primary

Addresses

Primary practice location

Brian D. Allgood Army Community Hospital (Bdaach)
Unit #15245; BLDG 3031
Apo, CA 96271

Mailing address

Brian D. Allgood Army Community Hospital (Bdaach)
Unit #15245; BLDG 3031
Apo, CA 96271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200722002266 NE Order and Referring Only - Family PracticePractitioner - Family Practice 5698199792

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1902306400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH)",
            "address_2": "UNIT #15245; BLDG 3031",
            "city": "APO",
            "state": "CA",
            "postal_code": "96271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH)",
            "address_2": "UNIT #15245; BLDG 3031",
            "city": "APO",
            "state": "CA",
            "postal_code": "96271",
            "telephone_number": "315-737-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "KAORU",
        "middle_name": "HASHIMOTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2025-06-16",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "32109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apo, CA

Sources for this page

Verify at the official NPI Registry.