MARK MYUNGJAE SONG MD PHD NPI 1326068560

NPI Details

Mark Myungjae Song, MD, PHD is a nephrology internal medicine in Los Angeles, CA with 42 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Mark Myungjae Song, MD, PHD NPI is 1326068560. 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:

3663 W 6TH ST STE 307
LOS ANGELES, CA
ZIP 90020-050
Phone: (213) 736-1884
Fax: (714) 626-0800

The NPI 1326068560 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 CLIA number assigned to this NPI record is 05D1013792 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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, 20-29 minutes (HCPCS:99213)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Advance care planning, first 30 minutes (HCPCS:99497)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Annual depression screening, 15 minutes (HCPCS:G0444)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
• Complete ultrasound scan of pelvis (HCPCS:76856)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Complete ultrasound scan of 1 breast (HCPCS:76641)
• Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
• Urinalysis, manual test (HCPCS:81002)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Home dialysis services per month (20 years or older) (HCPCS:90966)
• Hemoglobin a1c level (HCPCS:83036)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Infusion into a vein for hydration, each additional hour (HCPCS:96361)
• Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
• Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS:J2930)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
• Ringers lactate infusion, up to 1000 cc (HCPCS:J7120)
• Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
• Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
• Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
• Injection of drug or substance into vein (HCPCS:96374)
• Infusion, normal saline solution, 250 cc (HCPCS:J7050)

The enumeration date for this NPI number is 7/20/2006 and was last updated on 12/1/2011.

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:

Other Identifiers

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