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KEITH SO M.D.
NPI 1437218682
Internal Medicine in Chicago, IL

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000(872) 588-3001 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith So M.d. NPPES

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

KEITH SO M.D. (NPI 1437218682) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036-102425) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1437218682
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEITH SOCredential: M.D.
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address3860 W Ogden AveChicago, IL 60623-2460 · (872) 588-3000 · Fax (872) 588-3001
Phone(872) 588-3000
Fax(872) 588-3001
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 16, 2016
✔ NPI 1437218682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-102425
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.
3860 W OGDEN AVE, Chicago, IL 60623
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Other Identifiers 3

Medicare PINL78254IL
Medicaid036102425IL
Medicare UPING82243IL

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

Keith So M.d. 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 ID42212938
PECOS Enrollment IDI20070206000294
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$58.54 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$213.40 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers20 claims20 services$152.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOONGYU DANIEL SONG MD
Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
ANNA TORNQUIST
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. ALISHA RONETTE TILLMAN DO
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. THOMAS W BOCKLE M.D.
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
EDWIN W MANGRAM II D.D.S.
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LINDSAY J MCCRACKEN P.A.-C
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LISA ANNE WERNER PA
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
MRS. HEIDI MILLER NP
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000

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 Keith So's NPI number?

The NPI number for Keith So is 1437218682. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Keith So located?

Keith So practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (872) 588-3000.

What is Keith So's specialty?

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

Is Keith So enrolled in Medicare?

Yes. Keith So 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.

What insurance does Keith So accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Keith So as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Keith So affiliated with any hospitals?

According to CMS data, Keith So is affiliated with Mt Sinai Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Keith So was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.