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AUTUMN SEUNGHEE SONG DNP
NPI 1134727811
Nurse Practitioner - Women's Health in Chicago, IL

Active since October 14, 2020PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
1801 W TAYLOR ST, CHICAGO, IL 60612(312) 413-7500(312) 413-3856 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2022, Feb 18, 2022, Oct 14, 2020 (3 updates tracked since 2020).

About Autumn Seunghee Song Dnp NPPES

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

AUTUMN SEUNGHEE SONG DNP (NPI 1134727811) is an individual women's health provider in Chicago, Illinois, licensed in Illinois (209021694) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134727811
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameAUTUMN SEUNGHEE SONGCredential: DNP
Location Address1801 W TAYLOR STChicago, IL 60612-4795
Mailing Address820 S Wood St # Mc808Chicago, IL 60612-4325 · (312) 996-7006 · Fax (312) 996-4238
Phone(312) 413-7500
Fax(312) 413-3856
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 14, 2020
Last NPPES UpdateMarch 11, 20223 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1134727811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IL · 209021694
1801 W TAYLOR ST, Chicago, IL 60612
Open in Google Maps ↗

Other Names 1

Former Name (1)Seunghee Song Dnp

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

Autumn Seunghee Song Dnp 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 ID143616557
PECOS Enrollment IDI20220412002611
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.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

MATTHEW BRENNER-JEDWABNIK PA-C
Physician Assistant
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (847) 207-6228
DR. EDUARDO FERNANDES MD, PHD
Surgery
1801 W TAYLOR ST, OCC-3F
CHICAGO, IL 60612
Cook County (312) 355-1493
DR. MELANI LIGHTER MD
Surgery
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 355-4300
JAMES STEVEN FEINBERG MD
Dermatology (Procedural Dermatology)
1801 W TAYLOR ST, 3E
CHICAGO, IL 60612
Cook County (312) 996-1193
MRS. KIMBERLY YORMARK MS, AGACNP
Nurse Practitioner (Acute Care)
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
DR. ANDERS MELLGREN MD
Colon & Rectal Surgery
1801 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
MILENA J. LYON M.D.
Dermatology
1801 W TAYLOR ST, SUITE 3E
CHICAGO, IL 60612
Cook County (312) 996-8666
MR. DANIEL ROBERT BAMRICK-FERNANDEZ MD, MBA
Dermatology
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-0106

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 Autumn Song's NPI number?

The NPI number for Autumn Song is 1134727811. It was assigned to this individual provider in the NPPES registry on October 14, 2020. The provider is also known as Seunghee Song Dnp.

Where is Autumn Song located?

Autumn Song practices at 1801 W Taylor St, Chicago, IL 60612. The listed phone number is (312) 413-7500.

What is Autumn Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Autumn Song enrolled in Medicare?

Yes. Autumn Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Autumn Song affiliated with any hospitals?

According to CMS data, Autumn Song is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Autumn Song was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.