JONATHAN K SONG D.O.
NPI 1902260227
Physical Medicine & Rehabilitation - Pain Medicine in Tacoma, WA

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
1628 S MILDRED ST STE 102, TACOMA, WA 98465(206) 538-6300(206) 538-6301 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Mar 21, 2025, Dec 20, 2021 and 3 more (6 updates tracked since 2018).

About Jonathan K Song D.o. NPPES

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

JONATHAN K SONG D.O. (NPI 1902260227) is an individual pain medicine provider in Tacoma, Washington, licensed in Washington (OP70102133) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902260227
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameJONATHAN K SONGCredential: D.O.
Location Address1628 S MILDRED ST STE 102Tacoma, WA 98465-1628
Mailing Address645 E Missouri Ave Ste 300Phoenix, AZ 85012-1351 · (602) 262-8917 · Fax (602) 262-8890
Fax(206) 538-6301
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateJune 1, 20266 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1902260227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses✔ Licensed in WA · OP70102133✔ Licensed in AZ · 009208
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 009208 (AZ)
1628 S MILDRED ST STE 102, Tacoma, WA 98465

Secondary Practice Locations 2

Location 1155 Lilly Rd NE Ste AOlympia, WA 98506-5028 · Phone (206) 538-6300 · Fax (206) 538-6301
Location 213943 N 91st Ave Bldg EPeoria, AZ 85381-3629 · Phone (602) 262-8917 · Fax (602) 262-8890

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan K Song D.o. 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 ID6204113541
PECOS Enrollment IDI20210920003461, I20260615001145
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

6

Medicare enrollment records show Jonathan Song reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Medicine
1628 S MILDRED ST STE 102
Tacoma, WA 98465
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1144779232 (Washington)
  • 19 clinicians in this Medicare group
Pain Medicine
18555 N 79TH AVE, SUITE E101
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • 57 clinicians in this Medicare group
Anesthesiology
2262 E ROSE GARDEN LN
Phoenix, AZ 85024
  • Reassigned Medicare billing, Arizona enrollment
  • 518 clinicians in this Medicare group
Interventional Cardiology
2226 W NORTHERN AVE STE C212
Phoenix, AZ 85021
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
Anesthesiology
1466 W ELLIOT RD
Gilbert, AZ 85233
  • Reassigned Medicare billing, Arizona enrollment
  • 12 clinicians in this Medicare group
Neurology
1343 N ALMA SCHOOL RD, STE 160
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 53 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 17

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.

Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
51 services18 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
43 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services30 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
37 services35 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
34 services22 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
34 services22 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1628 S MILDRED ST STE 102
TACOMA, WA 98465
Pain Medicine (Interventional Pain Medicine)
1628 S MILDRED ST STE 102
TACOMA, WA 98465
Pain Medicine (Interventional Pain Medicine)
1628 S MILDRED ST STE 102
TACOMA, WA 98465
Anesthesiology (Pain Medicine)
1628 S MILDRED ST STE 102
TACOMA, WA 98465

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 Jonathan Song's NPI number?

The NPI number for Jonathan Song is 1902260227. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Jonathan Song located?

Jonathan Song practices at 1628 S Mildred St Ste 102, Tacoma, WA 98465. The listed phone number is (206) 538-6300.

What is Jonathan Song's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jonathan Song enrolled in Medicare?

Yes. Jonathan Song 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.

Which organizations bill Medicare for Jonathan Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Song reassigns Medicare benefits to 6 organizations: Pain Care Physicians PLLC (Tacoma, WA), Arizona Pain Specialists, PLLC (Glendale, AZ), Valley Anesthesiology Consultants, Inc. (Phoenix, AZ), Laser Surgery Holding Company, Ltd (Phoenix, AZ), Ajay Narwani MD PLLC (Gilbert, AZ) and 1 more organization, listed in the Medicare section above. 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 Jonathan Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Song accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and Providence Health Plan and 1 other insurer list Jonathan Song 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.

When was this NPI record last updated?

The NPPES record for Jonathan Song was last updated on June 1, 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.