DR. MIN SOO SONG MD.CM NPI 1053575340

NPI Information

  • NPI: 1053575340
  • Provider Name: DR. MIN SOO SONG, MD.,CM
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 ERDMAN WAY
    LEOMINSTER, MA
    ZIP 01453
  • Phone: (978) 466-7800

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NPI Details

DR. Min Soo Song, MD.,CM is a gastroenterology internal medicine in Leominster, MA with 22 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Min Soo Song, MD.,CM NPI is 1053575340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 ERDMAN WAY
LEOMINSTER, MA
ZIP 01453-805
Phone: (978) 466-7800
Fax: (978) 466-9333

The NPI 1053575340 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Measurement of liver stiffness (HCPCS:91200)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 7/15/2008 and was last updated on 2/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RT0003XInternal MedicineTransplant Hepatology248069NEW YORKNo
2207RG0100XInternal MedicineGastroenterology239085MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1951278-01OTHERMASSACHUSETTSNETWORK HEALTH
2AA146200OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH CARE
30442974OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
41053575340OTHERMASSACHUSETTSFALLON COMMUNITY HEALTH CARE
530208701OTHERNEW HAMPSHIRENH MEDICAID
6498955OTHERMASSACHUSETTSTUFTS
7001093301MEDICARE PINMASSACHUSETTS
83523061OTHERMASSACHUSETTSCIGNA HEALTH CARE
91053575340OTHERMASSACHUSETTSBCBS OF MASSACHUSETTS
101053575340OTHERMASSACHUSETTSEVERCARE
111053575340OTHERMASSACHUSETTSHMO BLUE
12110082569AMEDICAIDMASSACHUSETTS
131053575340OTHERMASSACHUSETTSAETNA HMO
1498493515OTHERMASSACHUSETTSAETNA NON HMO
15001093301OTHERMASSACHUSETTSRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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