Individual provider Active NPI

Julie Hye Young Song, MD

  • Diagnostic Radiology Physician
  • Warwick, RI
National Provider Identifier
1164411591
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD10642 Issued in RI
Practice address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone
(401) 432-2520
Fax
(401) 453-8220
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 209954 MA
Diagnostic Radiology Physician 2085R0202X 10642 RI
Diagnostic Radiology Physician 2085R0202X MD10642 RI Primary

Addresses

Primary practice location

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785

Mailing address

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2520

Other identifiers 13

IdentifierTypeStateIssuer
0161853OtherMASSMEDICAID
3080787OtherCIGNA
000000001988OtherNHPRI
243021OtherRIHPILGRIM
300123642OtherRAILROAD MEDICARE
003117232OtherCT MED ASSISTANCE
7009119OtherRIMEDICAL ASSISTANCE
010642OtherTUFTS
1650203OtherUNITEDHEALTHPLANS
0161853OtherHEALTHYSTART
007009120OtherHOSPITALPIN
408549OtherBLUECHIP
10642OtherBLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090922000229 RI Practitioner - Diagnostic Radiology 3678629342 Reassigns benefits to 1 organization
I20180615002268 MA Practitioner - Diagnostic Radiology 3678629342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Medical Imaging IncGroup PAC ID 8022097815, shared by 2 NPIs, 107 clinicians

Practice addresses (Care Compare)

1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 626-3900

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 767-1594

1301 Reservoir Ave
Cranston, RI 02920-6034
Phone (401) 921-9316

1500 Mineral Spring Ave
North Providence, RI 02904-3130
Phone (401) 921-9314

1525 Wampanoag TRL
Suite 101
Riverside, RI 02915-1038
Phone (401) 433-1166

1539 Atwood Ave
Suite LL1
Johnston, RI 02919-3262
Phone (401) 921-9202

200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

250 Toll Gate Rd
Warwick, RI 02886-4411
Phone (401) 921-9315

333 School St
Suite 105
Pawtucket, RI 02860-5335
Phone (401) 728-3040

41 Sanderson Rd
Suite 109
Smithfield, RI 02917-2611
Phone (401) 921-9202

450 Veterans Memorial Pkwy
BLDG 2
East Providence, RI 02914-5300
Phone (401) 435-3041

481 Kingstown Rd
Wakefield, RI 02879-3626
Phone (401) 921-9202

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 698-0055

65 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone (401) 921-9202

Hospital & facility affiliations

  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
82.44
Improvement activities
40
Cost
86.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10642RIMDDiagnostic Radiology Physician
MD10642RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Sep 1, 2001 Accepting new patients
Lifespan Corporation Current Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Jun 26, 2022 Accepting new patients

Locations

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

20 Catamore Blvd
East Providence, RI 02914
Phone (401) 432-2520

593 Eddy St
Providence, RI 02903

1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500

125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520

Interoperability endpoints

  • Direct secure messaging: jsong12219@brownhealth.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1164411591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BLVD STE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861785",
            "telephone_number": "401-432-2520",
            "fax_number": "401-453-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BLVD STE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861785",
            "telephone_number": "401-432-2520",
            "fax_number": "401-453-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JULIE",
        "middle_name": "HYE YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "209954",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "10642",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD10642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSMEDICAID",
            "identifier": "0161853",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3080787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHPRI",
            "identifier": "000000001988",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIHPILGRIM",
            "identifier": "243021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300123642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT MED ASSISTANCE",
            "identifier": "003117232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIMEDICAL ASSISTANCE",
            "identifier": "7009119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "010642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHPLANS",
            "identifier": "1650203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHYSTART",
            "identifier": "0161853",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITALPIN",
            "identifier": "007009120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "408549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "10642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.