1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ETHAN YICHEN SONG
NPI 1013595693
Student in an Organized Health Care Education/Training Program in Durham, NC

Active since April 01, 2021PECOS Enrolled
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 681-7139 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Yichen Song NPPES

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

ETHAN YICHEN SONG (NPI 1013595693) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013595693
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN YICHEN SONG
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-4000
Mailing Address40 Duke Medicine CirDurham, NC 27710-4000 · (858) 243-6224
Phone(919) 681-7139
Sole ProprietorYes
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1013595693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
40 DUKE MEDICINE CIR, Durham, NC 27710
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Yichen Song is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MARY E KLOTMAN MD
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
JONATHAN PAUL PICCINI SR. M.D., M.H.S.
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
AMY TENDLER PA
Physician Assistant
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-5057
DR. LINDSAY KING M.D.
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-7685
MICHAEL TCHEUPDJIAN FORRESTER MD, PHD
Internal Medicine (Pulmonary Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-1300
MRS. MEGHAN AMY WARD M.S. CCC-SLP
Speech-Language Pathologist
40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710
Durham County (919) 684-3451
RAGHUBINDER S GILL M.D.
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710
Durham County (919) 684-2661
EMMANUEL EMOVON
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (843) 697-9280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Song's NPI number?

The NPI number for Ethan Song is 1013595693. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Ethan Song located?

Ethan Song practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 681-7139.

What is Ethan Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Song enrolled in Medicare?

Yes. Ethan Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Song was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.