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: August 02, 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 At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (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 CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 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 113943 N 91st Ave Bldg EPeoria, AZ 85381-3629 · Phone (602) 262-8917 · Fax (602) 262-8890
Location 2155 Lilly Rd NE Ste AOlympia, WA 98506-5028 · Phone (206) 538-6300 · Fax (206) 538-6301

Accepted 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

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
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 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.

What insurance does Jonathan Song accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare 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 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.