Active NPI
David H Song, MD
- Plastic and Reconstructive Surgery Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 036101706
- Practice address
- 3800 Reservoir Rd NW
PHC Building, First Floor
Washington, DC 20007-2113 - Phone
- (202) 444-8751
- Fax
- (202) 444-7204
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 036101706 | IL | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD044788 | DC |
Addresses
Primary practice location
3800 Reservoir Rd NW
PHC Building, First Floor
Washington, DC 20007-2113
Mailing address
3800 Reservoir Rd NW
PHC Building, First Floor
Washington, DC 20007-2113
Phone (202) 444-8751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036101706 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Usc Surgeons, Inc. | Past | Accepting new patients |
Locations
3800 Reservoir Rd NW
Bldg First
Washington, DC 20007
Phone (202) 444-1644
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
6862 Elm St
Ste 800
Mc Lean, VA 22101
Phone (703) 663-4740
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Surgery Physician
- Los Angeles, CA
- NPI 1821034315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1043375884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"address_2": "PHC BUILDING, FIRST FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-8751",
"fax_number": "202-444-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"address_2": "PHC BUILDING, FIRST FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-8751",
"fax_number": "202-444-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "DAVID",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IL",
"license": "036101706",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "DC",
"license": "MD044788",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036101706",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.