NPIMap

Individual provider Active NPI

Christopher Song, M.D.

  • Cardiovascular Disease Physician
  • East Providence, RI
National Provider Identifier
1043453624
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD14976 Issued in RI
Practice address
950 Warren Ave
East Providence, RI 02914-1432
Phone
(401) 606-1004
Fax
(401) 606-1153
NPI assigned
Apr 13, 2009
Last updated
May 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 253136 MA
Cardiovascular Disease Physician 207RC0000X MD14976 RI Primary

Addresses

Primary practice location

950 Warren Ave
East Providence, RI 02914-1432

Mailing address

200 Exchange St
Unit 814
Providence, RI 02903-2621
Phone (518) 429-3083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140513000145 MA Practitioner - Cardiovascular Disease (Cardiology) 1355574617 Reassigns benefits to 1 organization
I20150811003803 RI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1355574617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians

Practice addresses (Care Compare)

152 Emory St
Attleboro, MA 02703-2499
Phone (508) 226-7515

2 Dudley St
Providence, RI 02905-3236
Phone (401) 453-4500

950 Warren Ave
FL 2
East Providence, RI 02914-1432
Phone (401) 606-1004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
253136MAMDRegistered Nurse
MD14976RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jul 1, 2015 Accepting new patients
The Miriam Hospital CurrentSince Jul 1, 2015 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 1, 2015 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Cardiovascular Disease CurrentSince Jul 1, 2015 Accepting new patients
Rhode Island Hospital Cardiovascular Disease CurrentSince Feb 21, 2024 Accepting new patients
Rhode Island Hospital CurrentSince Feb 21, 2024 Accepting new patients
The Miriam Hospital Internal Medicine Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

152 Emory St
Attleboro, MA 02703
Phone (508) 222-6409

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

950 Warren Ave
East Providence, RI 02914
Phone (401) 253-8900

950 Warren Ave
Fl 2
East Providence, RI 02914

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

2 Dudley St
Providence, RI 02905
Phone (401) 444-2299

208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191

593 Eddy St
Providence, RI 02903

593 Eddy St
Bldg 1ST
Providence, RI 02903
Phone (401) 444-5803

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1043453624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EXCHANGE ST",
            "address_2": "UNIT 814",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032621",
            "telephone_number": "518-429-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141432",
            "telephone_number": "401-606-1004",
            "fax_number": "401-606-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "253136",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD14976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.