Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922090513 Individual Practitioner Female Practitioner

Dr. Soungwon Bae , DO

Pediatrics • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Soungwon Bae, DO is a registered healthcare professional specializing in Pediatrics in Tucson, AZ. Practice services are available at 1620 W COMMERCE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1620 W Commerce Ct

Tucson, AZ 857466005

Telephone 5202936686
Fax 5208871736
Associated Practice Facility / Clinic
🏢 Al Shaafi Medical Pc Facility NPI 1316946445

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
299 Specialists

Practicing in Tucson, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 3706

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
633207 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1104825801

Doctor of Medicine (M.D.)

NPI 1144259391

Doctor of Medicine (M.D.)

NPI 1194726513

Doctor of Medicine (M.D.)

NPI 1437156205

Doctor of Medicine (M.D.)

Kristen Moore , CPNP

Nurse Practitioner - Pediatrics

NPI 1487653895

Certified Pediatric Nurse Practitioner

NPI 1619151313

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location August 08, 2026

Registered at 1620 W COMMERCE CT, TUCSON, AZ 857466005 (Tel: 5202936686)

📍
Updated Business Mailing Address August 08, 2026

Registered at 1620 W COMMERCE CT, TUCSON, AZ 857466005 (Tel: 5202936686)

📍
Updated Practice Location June 13, 2024

Registered at 9348 E RITA RD STE 100, TUCSON, AZ 857476313 (Tel: 5203244760)

📍
Updated Business Mailing Address June 13, 2024

Registered at PO BOX 31235, TUCSON, AZ 857511235 (Tel: 5203244100)

📍
Updated Practice Location September 03, 2019

Registered at 630 N ALVERNON WAY STE 251, TUCSON, AZ 857111879 (Tel: 5203228460)

📍
Updated Business Mailing Address September 03, 2019

Registered at 630 N ALVERNON WAY STE 251, TUCSON, AZ 857111879 (Tel: 5203228460)

NPI Profile Active July 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2011

Registered at 8290 S HOUGHTON RD, SUITE 100, TUCSON, AZ 857479723 (Tel: 5208736200)

📍
Updated Business Mailing Address July 21, 2011

Registered at 2202 N FORBES BLVD, TUCSON, AZ 857451412 (Tel: 5208736200)

👤
Provider Name / Credentials Updated July 21, 2011

Recorded as SOUNGWON BAE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2011

Pediatrics (License #3706 in AZ)

🟢
Initial NPI Registration & Enumeration August 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922090513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2005
Last Update: August 08, 2026
Sole Proprietor: No

Mailing Address

1620 W Commerce Ct

Tucson, AZ 857466005

Phone: 5202936686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.