MR. SONG YONG MOON PA-C
NPI 1740308501
Physician Assistant - Medical in Bel Air, MD

Q: What is Song Moon's NPI number?

The NPI number for Song Moon is 1740308501. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Q: What is Song Moon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Song Moon was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 27, 2007PECOS Enrolled

500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014(443) 643-2000 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Song Yong Moon Pa-c NPPES

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

MR. SONG YONG MOON PA-C (NPI 1740308501) is an individual medical provider in Bel Air, Maryland, licensed in Maryland (C0003238) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740308501

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. SONG YONG MOONCredential: PA-C

Location Address500 UPPER CHESAPEAKE DRBel Air, MD 21014-4324

Mailing Address8908 Lee Manor DrEllicott City, MD 21043-7999 · (443) 545-5157

Phone(443) 643-2000

Sole ProprietorYes

Enumeration DateMarch 27, 2007

Last NPPES UpdateFebruary 13, 2008

✔ NPI 1740308501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MD · C0003238

500 UPPER CHESAPEAKE DR, Bel Air, MD 21014

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Other Identifiers 2

Medicare PIN944GMD

Medicare PIN489P944GMD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Song Yong Moon Pa-c 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

227 services222 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

145 services144 patients

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.

UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC

Physician Assistant (Surgical)