Individual provider Active NPI

Zhe Song, M.D.

  • Psychiatry Physician
  • Sugar Land, TX
National Provider Identifier
1144677337
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C199870 Issued in CA
Practice address
11931 S Highway 6
Sugar Land, TX 77498-5727
Phone
(281) 896-2112
NPI assigned
May 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R5810 TX
Psychiatry Physician 2084P0800X C199870 CA Primary

Addresses

Primary practice location

11931 S Highway 6
Sugar Land, TX 77498-5727

Mailing address

6410 Gusty Trail LN
Houston, TX 77041-6013

Other identifiers 1

IdentifierTypeStateIssuer
4115529-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190711002219 TX Practitioner - Psychiatry 7416282512 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C199870CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Jul 26, 2021 Accepting new patients
Kinghaven Counseling Group Inc Psychiatry CurrentSince Oct 1, 2023 Accepting new patients
Baptist Physician Network CurrentSince Jun 1, 2019 Accepting new patients
Zhe Song, MD PLLC CurrentSince May 8, 2024 Accepting new patients

Locations

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

810 Hospital Dr
Ste 100
Beaumont, TX 77701
Phone (409) 212-5933

3250 Fannin St
Beaumont, TX 77701
Phone (409) 212-7000

13325 Hargrave Rd
Ste 240
Houston, TX 77070
Phone (970) 759-3317

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

3025 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (214) 257-0682

2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112

11931 S Highway 6
Sugar Land, TX 77498
Phone (281) 533-6880

3425 Highway 6
Ste 103
Sugar Land, TX 77478
Phone (281) 313-8988

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1144677337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 GUSTY TRAIL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770416013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11931 S HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985727",
            "telephone_number": "281-896-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ZHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R5810",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C199870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115529-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.