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LEONARD KYUNGSUP SONG DO
NPI 1689137804
Hospitalist in Indianapolis, IN

Active since April 14, 2019PECOS Enrolled
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278(317) 802-2000(317) 802-2050 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Nov 28, 2025, Oct 5, 2022 and 1 more (4 updates tracked since 2019).

About Leonard Kyungsup Song Do NPPES

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

LEONARD KYUNGSUP SONG DO (NPI 1689137804) is an individual hospitalist provider in Indianapolis, Indiana, licensed in Indiana (02009018A) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689137804
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameLEONARD KYUNGSUP SONGCredential: DO
Location Address8450 NORTHWEST BLVDIndianapolis, IN 46278-1381
Mailing Address8450 Northwest BlvdIndianapolis, IN 46278-1381 · (317) 802-2000 · Fax (317) 802-2050
Phone(317) 802-2000
Fax(317) 802-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 14, 2019
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1689137804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IN · 02009018A
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 11020473A (IN)
8450 NORTHWEST BLVD, Indianapolis, IN 46278
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11701 Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-8776
Location 21120 W Michigan St # Cl630Indianapolis, IN 46202-5209 · Phone (317) 278-2689

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leonard Kyungsup Song Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729312111
PECOS Enrollment IDI20251205000372
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Leonard Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedics-Indianapolis, Inc
Same address
Orthopaedic Surgery
8450 NORTHWEST BLVD
Indianapolis, IN 46278
  • Reassigned Medicare billing, Indiana enrollment
  • 348 clinicians in this Medicare group
NPI 1073622015 (317) 802-2000
Iu Health Medical Group, LLC
9.9 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46278 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

HEATHER CELIA WILLIAMS MD
Orthopaedic Surgery (Hand Surgery)
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 802-2000
MRS. KAREN MARY DORSETT NP
Nurse Practitioner
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 802-2000
MR. JOHN MARSHALL HILLENBURG PA
Physician Assistant
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 802-2000
KATHY S WILLIAMS CRNFA
Registered Nurse (Registered Nurse First Assistant)
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 802-2000
JASON G CARTER MD
Anesthesiology
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 802-2000
MRS. EMILY L THIEME PA-C
Physician Assistant
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 802-2000
MS. AMANDA S LANGWORTHY CSFA
Specialist/Technologist, Other (Surgical Assistant)
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 802-2000
DR. STEPHEN L KOLLIAS MD
Orthopaedic Surgery (Sports Medicine)
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 802-2000

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 Leonard Song's NPI number?

The NPI number for Leonard Song is 1689137804. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Where is Leonard Song located?

Leonard Song practices at 8450 Northwest Blvd, Indianapolis, IN 46278. The listed phone number is (317) 802-2000.

What is Leonard Song's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Leonard Song enrolled in Medicare?

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

Which organizations bill Medicare for Leonard Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leonard Song reassigns Medicare benefits to 2 organizations: Orthopaedics-Indianapolis, Inc (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leonard Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leonard Song was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.