Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Min Soo Song, MD.,CM

Gastroenterology Physician in Leominster, MA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053575340

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Registry record

Entity type Individual (Type 1)

Name Dr. Min Soo Song

Credential MD.,CM

Sex Male

Practice address 105 Erdman Way, Leominster, MA, 01453

Phone (978) 466-7800

Fax (978) 466-9333

Enumeration date Jul 15, 2008

Last updated in NPPES Feb 9, 2015

Taxonomy & licenses

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License 239085 (MA) Primary

207RT0003X Transplant Hepatology Physician Allopathic & Osteopathic Physicians · License 248069 (NY) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1053575340	Other	MA	HMO BLUE
498955	Other	MA	TUFTS
951278-01	Other	MA	NETWORK HEALTH
98493515	Other	MA	AETNA NON HMO
0442974	Other	MA	NEIGHBORHOOD HEALTH PLAN
1053575340	Other	MA	AETNA HMO
1053575340	Other	MA	FALLON COMMUNITY HEALTH CARE
AA146200	Other	MA	HARVARD PILGRIM HEALTH CARE
001093301	Other	MA	RAILROAD MEDICARE
1053575340	Other	MA	EVERCARE
110082569A	Medicaid	MA	-
1053575340	Other	MA	BCBS OF MASSACHUSETTS
30208701	Other	NH	NH MEDICAID
3523061	Other	MA	CIGNA HEALTH CARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Min Soo Song's NPI record?

Cross-check NPI 1053575340 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1053575340 active?

Yes, as of the latest NPPES snapshot, NPI 1053575340 is active (record last updated 2015-02-09).

Other providers at this practice address

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Manucher Fardi Anatomic Pathology Physician · Leominster, MA NPI 1578552022 Vernu Visvalingam Gastroenterology Physician · Leominster, MA NPI 1396700274 Elliot Feinberg Gastroenterology Physician · Leominster, MA NPI 1962442491 Belden Divito Surgical Physician Assistant · Leominster, MA NPI 1831131382 Wankin Yu Gastroenterology Physician · Leominster, MA NPI 1477639656 Central Massachusetts Ambulatory Endoscopy Center LLC Ambulatory Surgical Clinic/Center · Leominster, MA NPI 1073682159 Mariann Padron Gleich Gastroenterology Physician · Leominster, MA NPI 1578721049 Wankin J Yu MD Gastroenterology Physician · Leominster, MA NPI 1861626392

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-09.