SOMJADE J. SONGCHAROEN MD – NPI #1255628517
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

SOMJADE SONGCHAROEN is a surgeon located in JACKSON, MS. NPPES has assigned the NPI number 1255628517 to SOMJADE SONGCHAROEN on July 06, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was last updated on Jan 01, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOMJADE SONGCHAROEN below.

NPI Profile for
SOMJADE J. SONGCHAROEN

NPI Number
1255628517
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SOMJADE J. SONGCHAROEN
Credentials
MD
Primary location
971 LAKELAND DR STE 315
JACKSON, MS 39216-4607
Phone: (601) 414-9530 Fax: (601) 206-0153
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jan 01, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOMJADE SONGCHAROEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS00986532
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 MS 23081
2082S0105X
- Plastic Surgery / Surgery of the Hand		 MS 23081
208200000X
- Plastic Surgery		 MS 23081

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT SECURE MESSAGING FOR CLINICAL DOCUMENTS
Content Type
OTHER
Affiliation
N
Endpoint Location
971 LAKELAND DR STE 315,
JACKSON, MS 77025-1669

Additional Information

Education
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SOMJADE SONGCHAROEN is affiliated with the following medical group(s):
  • HOSPITAL
    • ST DOMINIC-JACKSON MEMORIAL HOSPITAL
      969 LAKELAND DR
      JACKSON, MS 39216

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.