DR. KENNETH W SONG (MD) – Anesthesiology Physician, NPI 1851371199

DR. KENNETH W SONG (MD) is a healthcare provider. based in Englewood, Colorado. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 41832 (CO). The NPI Number for DR. KENNETH W SONG (MD) is 1851371199

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH W SONG (MD)
NPI
1851371199
Phone
(303) 761-5646
Address
333 W. HAMPDEN AVE.
Enumeration Date
20 January 2006
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
8157598278
Graduation Year
1991 (35 years ago)
PAC ID
3577691021
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20241120003473
Address ID
IL601429553HU10400RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100504000882IAnesthesiologyCOTBD
I20240415003175IAnesthesiologyMETBD
I20241120003473IAnesthesiologyILTBD
I20241120004447IAnesthesiologyTNTBD
I20250820001963IAnesthesiologyVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope4747$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2322$0
00840Anesthesia for other procedure on lower abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 80110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

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Frequently asked questions

What NPI should I save for DR. KENNETH W SONG (MD)?
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Is DR. KENNETH W SONG (MD) active in the national directory?
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What kind of provider is DR. KENNETH W SONG (MD)?
The page reflects Anesthesiology Physician for DR. KENNETH W SONG (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KENNETH W SONG (MD)?
The page summarizes Englewood, Colorado for DR. KENNETH W SONG (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.