DAVID SOON IM (MD) – Psychiatry Physician, NPI 1952357790

DAVID SOON IM (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 4301067032 (MI). The NPI Number for DAVID SOON IM (MD) is 1952357790

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DAVID SOON IM (MD)
NPI
1952357790
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
25 May 2006
Last Update Date
18 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7349364000
Graduation Year
1995 (31 years ago)
PAC ID
7810167442
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20110908002061
Address ID
MI481095000AN1500XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,216 PSYCHIATRY in MI

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Provider Addresses for DAVID SOON IM (MD)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

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: 2011-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20110908002061IPsychiatryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48108)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the registry number for DAVID SOON IM (MD)?
The registry entry for DAVID SOON IM (MD) shows NPI 1952357790.
Does the public listing show DAVID SOON IM (MD) as active?
DAVID SOON IM (MD)'s NPI record reflects an active status in NPPES.
What services align with DAVID SOON IM (MD)'s listing?
DAVID SOON IM (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DAVID SOON IM (MD) tied to Ann Arbor, Michigan?
If you are local to Ann Arbor, Michigan, DAVID SOON IM (MD) may be relevant to your search.
Why is information missing for DAVID SOON IM (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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