Individual provider Active NPI

Emily Win Song, PA-C

  • Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1164022257
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13968 Issued in TX
Practice address
1327 Lake Pointe Pkwy Ste 410
Sugar Land, TX 77478-4602
Phone
(281) 637-7695
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X PA13968 TX
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA13968 TX Primary

Addresses

Primary practice location

1327 Lake Pointe Pkwy Ste 410
Sugar Land, TX 77478-4602

Mailing address

9999 Bellaire Blvd Ste 370
Houston, TX 77036-3579
Phone (713) 270-0909

Other practice location 1

9999 Bellaire Blvd Ste 370
Houston, TX 77036-3579
Phone (713) 270-0909

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221119000172 TX Practitioner - Physician Assistant 2668840885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

1327 Lake Pointe Pkwy
Suite 500
Sugar Land, TX 77478-4096
Phone (281) 637-7690

17198 St Lukes Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13968TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Oct 17, 2022 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Oct 17, 2022 Accepting new patients
Wang&Jiang, MD, PA CurrentSince Feb 1, 2022 Accepting new patients
Mohamed S Ahmed MD PA Psychiatry PastSince Nov 1, 2020 Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

9999 Bellaire Blvd
Ste 370
Houston, TX 77036
Phone (713) 270-0909

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

2244 W Holcombe Blvd
Houston, TX 77030
Phone (713) 322-2536

13737 Highway 36
Needville, TX 77461
Phone (713) 598-3850

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1164022257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 BELLAIRE BLVD STE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363579",
            "telephone_number": "713-270-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 LAKE POINTE PKWY STE 410",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784602",
            "telephone_number": "281-637-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9999 Bellaire Blvd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770363579",
            "country_code": "US",
            "telephone_number": "713-270-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "EMILY",
        "middle_name": "WIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "PA13968",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.