Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leonard Kyungsup Song, DO

Individual provider Internal Medicine Physician · NPI 1689137804

Leonard Kyungsup Song, DO is an Internal Medicine in Indianapolis, Indiana. Qualified in 2019, 7 years ago. Works from 3 locations. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8450 NW Blvd
Indianapolis, IN 46278-1381
Phone: (317) 802-2000
Fax: (317) 802-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1120 W Michigan St # Cl630, Indianapolis, IN 46202-5209 — (317) 278-2689
  • 1701 Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-8776

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 02009018A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11020473A (IN)

Record details

NPI number1689137804
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 14, 2019
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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