Individual provider Active NPI

Wendy Song, DO

  • Family Medicine Physician
  • San Tan Valley, AZ
National Provider Identifier
1144660671
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
006834 Issued in AZ
Practice address
2474 E Hunt Hwy
Suite 10
San Tan Valley, AZ 85143-5210
Phone
(480) 543-6680
Fax
(480) 543-5908
NPI assigned
Jun 28, 2013
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 006834 AZ Primary

Addresses

Primary practice location

2474 E Hunt Hwy
Suite 10
San Tan Valley, AZ 85143-5210

Mailing address

2474 E Hunt Hwy
Suite 10
San Tan Valley, AZ 85143-5210
Phone (480) 543-6680

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE, IN, MO, MI, WA, MT, CT, MN, CO, OK, NJ, IL, WV, KY, IA, LA, VT, AL, TN, GA21 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 21

Enrollment IDStateProvider typePAC IDDetails
I20160819001543 AZ Practitioner - Family Practice 5597050211 Reassigns benefits to 2 organizations
I20241023002722 NE Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241023004168 IN Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241024002079 MO Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241024002724 MI Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241025001238 WA Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241028000415 MT Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241028002789 CT Practitioner - Family Practice 5597050211
I20241028002924 MN Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241030000823 CO Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241030001527 OK Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241031000014 NJ Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241104001879 IL Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241108001507 WV Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241114002138 KY Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241114003673 IA Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241118001185 LA Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241126000766 VT Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241203000800 AL Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241204003952 TN Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization
I20241218002158 GA Practitioner - Family Practice 5597050211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solace Health Medical Group IncGroup PAC ID 9830540624, 122 clinicians

Practice addresses (Care Compare)

111 Town Square PL
Suite 1201
Jersey City, NJ 07310-1724
Phone (201) 283-8515

120 19TH St N
Birmingham, AL 35203-3155
Phone (201) 283-8515

1201 Liberty Pike
Suite 299
Franklin, TN 37067-5604
Phone (201) 283-8515

1375 Maple Tree PL
Suite 1103
Williston, VT 05495-8210
Phone (240) 693-3281

1500 Southland Cir NW
Suite H
Atlanta, GA 30318-3669
Phone (201) 283-8515

2025 N 3Rd St
Suite B300
Phoenix, AZ 85004-1486
Phone (240) 693-3281

2057 Green Bay Rd
Suite 1001
Highland Park, IL 60035-6101
Phone (240) 693-3281

2431 Wiley Blvd SW
Suite 1006
Cedar Rapids, IA 52404-6003
Phone (240) 693-3281

2590 Welton St
Suite 200
Denver, CO 80205-4268
Phone (201) 283-8515

333 Washington Ave N
Suite 3009036
Minneapolis, MN 55401-2263
Phone (240) 693-3281

3558 Jefferson St N
Suite 5
Lewisburg, WV 24901-5730
Phone (240) 693-3281

401 Pine St
Suite 4025
Saint Louis, MO 63102-2731
Phone (240) 693-3281

4025 Emerald Dr
Stevensville, MT 59870-6476
Phone (240) 693-3281

455 E Eisenhower Pkwy
Suite 300
Ann Arbor, MI 48108-3324
Phone (240) 693-3281

629 W Main St
Suite 1065
Oklahoma City, OK 73102-2221
Phone (240) 693-3281

6311 Ames Ave
Suite 1234
Omaha, NE 68104-2027
Phone (240) 693-3281

7301 Fegenbush LN
Suite 201
Louisville, KY 40228-1509
Phone (240) 693-3281

900 Camp St
New Orleans, LA 70130-3971
Phone (240) 693-3281

9030 35TH Ave SW
Suite 100 1017
Seattle, WA 98126-3821
Phone (240) 693-3281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
006834AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clove LLC Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Grayhawk Family Practice PC Family Medicine PastSince Aug 5, 2024 Accepting new patients
Banner -- University Primary Care Physicians LLC Past Accepting new patients
Solace Health Medical Group KS PA Family Medicine Past Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

10051 E Dynamite Blvd
Ste 110
Scottsdale, AZ 85262
Phone (480) 473-7003

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1144660671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 E HUNT HWY",
            "address_2": "SUITE 10",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435210",
            "telephone_number": "480-543-6680",
            "fax_number": "480-543-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 E HUNT HWY",
            "address_2": "SUITE 10",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435210",
            "telephone_number": "480-543-6680",
            "fax_number": "480-543-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "WENDY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.