LEONARD KYUNGSUP SONG DO
NPI 1689137804
Hospitalist in Indianapolis, IN

Q: 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.

Q: What is Leonard Song's specialty?

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

Q: 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 2 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)