DR. CHANG KI SONG (MD) – Surgery Physician, NPI 1609892728

DR. CHANG KI SONG (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 036060265 (IL). The NPI Number for DR. CHANG KI SONG (MD) is 1609892728

Main info

Male
Sole Proprietor
Name
DR. CHANG KI SONG (MD)
NPI
1609892728
Phone
(309) 691-1092
Address
5401 N KNOXVILLE AVE
Enumeration Date
14 July 2006
Last Update Date
5 December 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHANG KI SONG (MD)

  • 5401, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61614, United States

    SUITE 217

    PEORIA, IL 616145098

    Phone: (309) 691-1092

    Fax: (309) 689-6092

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 61614)

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Reviews

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Frequently asked questions

How do payers reference DR. CHANG KI SONG (MD)?
For DR. CHANG KI SONG (MD), use NPI 1609892728 as the unique 10-digit identifier.
Is DR. CHANG KI SONG (MD) still an active registrant?
DR. CHANG KI SONG (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. CHANG KI SONG (MD)'s focus?
For DR. CHANG KI SONG (MD), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CHANG KI SONG (MD)?
Travel planning: use Peoria, Illinois as the reference point for DR. CHANG KI SONG (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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