Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SOUNGWON BAE DO
NPI 1922090513
Pediatrics in Tucson, AZ

Q: What is Soungwon Bae's NPI number?

The NPI number for Soungwon Bae is 1922090513. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Soungwon Bae's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Soungwon Bae was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 August 18, 2005PECOS Enrolled

1620 W COMMERCE CT, TUCSON, AZ 85746(520) 293-6686(520) 887-1736 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 8, 2026, Jun 13, 2024, Sep 3, 2019 (3 updates tracked since 2019).

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About Dr. Soungwon Bae Do NPPES

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

DR. SOUNGWON BAE DO (NPI 1922090513) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (3706) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922090513

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SOUNGWON BAECredential: DO

Location Address1620 W COMMERCE CTTucson, AZ 85746-6005

Mailing Address1620 W Commerce CtTucson, AZ 85746-6005 · (520) 293-6686 · Fax (520) 887-1736

Phone(520) 293-6686

Fax(520) 887-1736

Sole ProprietorNo

Enumeration DateAugust 18, 2005

Last NPPES UpdateAugust 8, 20263 updates tracked since enumeration

NPPES CertifiedAugust 8, 2026

✔ NPI 1922090513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 3706

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1620 W COMMERCE CT, Tucson, AZ 85746

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Other Identifiers 1

Medicaid633207AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soungwon Bae Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85746 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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

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

CATHERINE BENOIT APRN

Nurse Practitioner (Family)

1620 W COMMERCE CT
TUCSON, AZ 85746

Pima County (520) 293-6686

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 Soungwon Bae's NPI number?

The NPI number for Soungwon Bae is 1922090513. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Soungwon Bae located?

Soungwon Bae practices at 1620 W Commerce Ct, Tucson, AZ 85746. The listed phone number is (520) 293-6686.

What is Soungwon Bae's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Soungwon Bae enrolled in Medicare?

Yes. Soungwon Bae is registered in the Medicare PECOS enrollment system.

What insurance does Soungwon Bae accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Soungwon Bae 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 Soungwon Bae was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.