1. Home
  2. Directory
  3. Virginia
  4. Fort Belvoir
  5. General Practice
  6. NPI Profile

DR. JINI SONG DO
NPI 1255034492
General Practice in Fort Belvoir, VA

Active since March 27, 2023PECOS Enrolled
9300 DEWITT LOOP, FORT BELVOIR, VA 22060(571) 231-3224 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 31, 2026, Aug 15, 2025, Jun 4, 2025 and 2 more (5 updates tracked since 2023).

About Dr. Jini Song Do NPPES

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

DR. JINI SONG DO (NPI 1255034492) is an individual general practice provider in Fort Belvoir, Virginia, licensed in Virginia (0102209007) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255034492
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JINI SONGCredential: DO
Location Address9300 DEWITT LOOPFort Belvoir, VA 22060-5285
Mailing Address9300 Dewitt LoopFort Belvoir, VA 22060-5285
Phone(571) 231-3224
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateMay 31, 20265 updates tracked since enumeration
NPPES CertifiedMay 31, 2026
✔ NPI 1255034492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102209007
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
9300 DEWITT LOOP, Fort Belvoir, VA 22060
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)

Dr. Jini Song Do 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.

DR. ASHLEY L MALTEZ-LAURIENTI PSY.D.
Counselor (Mental Health)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (712) 313-2245
MEGAN ANNE KELLY COTA
Occupational Therapy Assistant
9300 DEWITT LOOP
FT BELVOIR, VA 22060
Fairfax County (571) 231-1321
MS. SHANNON NOELLE FULCROD LCSW, CSAC, MAC
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1200
CALE WRIGHT PSYD
Psychologist (Clinical Child & Adolescent)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-0524
SPENCER OSBOURN
Psychiatry & Neurology (Neurology)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-2966
HEATHER R BARAL
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
UMAR KHAN
Orthopaedic Surgery
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
DAVID PITTS JR. DO
General Practice
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1803

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 Jini Song's NPI number?

The NPI number for Jini Song is 1255034492. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Jini Song located?

Jini Song practices at 9300 Dewitt Loop, Fort Belvoir, VA 22060. The listed phone number is (571) 231-3224.

What is Jini Song's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jini Song enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jini Song was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.