DR. KENNETH W SONG (MD) – Anesthesiology Physician, NPI 1851371199
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,631 ANESTHESIOLOGY in IL
Provider Addresses for DR. KENNETH W SONG (MD)
Thomas R Lefly, Attorney at Law, 333, West Hampden Avenue, Englewood, Arapahoe County, Colorado, 80110, United States
SUITE 600
ENGLEWOOD, CO 801102336
Phone: (303) 761-5646
Fax: (303) 761-9280
Type: Mailing
10400 Haligus Rd Fl 2
Huntley, IL 601429553
Phone: (224) 654-0000
Fax: (224) 654-0000
Type: Location
251 E Huron St Ste 5-704
Chicago, IL 606112908
Phone: (312) 695-0061
Fax: (312) 695-9013
Type: Location
333 W HAMPDEN AVE STE 600
ENGLEWOOD, CO 801102336
Phone: (303) 761-5646
Fax: (303) 761-9280
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100504000882 | I | Anesthesiology | CO | TBD |
| I20240415003175 | I | Anesthesiology | ME | TBD |
| I20241120003473 | I | Anesthesiology | IL | TBD |
| I20241120004447 | I | Anesthesiology | TN | TBD |
| I20250820001963 | I | Anesthesiology | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 47 | 47 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 23 | 22 | $0 |
| 00840 | Anesthesia for other procedure on lower abdomen | 12 | 12 | $0 |
Insurance plans in this area (ZIP 80110)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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