JOONGYU DANIEL SONG MD
NPI 1003376062
Internal Medicine in Chicago, IL

Q: What is Joongyu Song's NPI number?

The NPI number for Joongyu Song is 1003376062. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Q: What is Joongyu Song's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Joongyu Song was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment

3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Aug 21, 2023, Mar 24, 2019 (3 updates tracked since 2019).

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About Joongyu Daniel Song Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOONGYU DANIEL SONG MD (NPI 1003376062) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036166237) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Yale University School Of Medicine (2019).

NPPES Registry Identity

NPI1003376062

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJOONGYU DANIEL SONGCredential: MD

Location Address3860 W OGDEN AVEChicago, IL 60623

Mailing Address3860 W Ogden AveChicago, IL 60623 · (872) 588-3000

Phone(872) 588-3000

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2019

Enumeration DateMarch 24, 2019

Last NPPES UpdateSeptember 5, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1003376062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036166237

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 036166237 (IL)

3860 W OGDEN AVE, Chicago, IL 60623

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joongyu Daniel Song Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476888694

PECOS Enrollment IDI20231023000892

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140018

Location1500 S Fairfield AveChicago, IL 60608 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA TORNQUIST

Counselor (Professional)