Individual provider Active NPI

Hyun M Song, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1255422606
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.088516 Issued in OH
Practice address
5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone
(513) 281-3400
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-2177 GU
Diagnostic Radiology Physician 2085R0202X 35.088516 OH Primary

Addresses

Primary practice location

5400 Kennedy Ave
Cincinnati, OH 45213-2664

Mailing address

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 281-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, MI, GU, MN, MO, PA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20070727000032 KY Practitioner - Diagnostic Radiology 1951394592 Reassigns benefits to 2 organizations
I20070911000650 OH Practitioner - Diagnostic Radiology 1951394592 Reassigns benefits to 4 organizations
I20190418002371 MI Practitioner - Diagnostic Radiology 1951394592 Reassigns benefits to 1 organization
I20200813001798 GU Practitioner - Diagnostic Radiology 1951394592 Reassigns benefits to 1 organization
I20230912002394 MN Practitioner - Diagnostic Radiology 1951394592 Reassigns benefits to 1 organization
I20241231002890 MO Practitioner - Diagnostic Radiology 1951394592 Reassigns benefits to 1 organization
I20251110001054 PA Practitioner - Diagnostic Radiology 1951394592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholasville Road MRI, LLCGroup PAC ID 5395718670, 23 clinicians
Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians
CT at MidtownGroup PAC ID 9335045681, 34 clinicians
Proscan Radiology Northern Kentucky, LLCGroup PAC ID 9537417399, 32 clinicians
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

2463 Nicholasville Rd
Lexington, KY 40503-3158
Phone (859) 276-1022

525 W Chester Pike
Suite 101a
Havertown, PA 19083-4539
Phone (610) 449-2000

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

568 Centre View Blvd
Crestview Hills, KY 41017-3425
Phone (859) 331-5300

6000 Hospital Dr PO Box
Suite 1257
Hannibal, MO 63401-1257

PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460

Hospital & facility affiliations

  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025

Merit-based Incentive Payment System (MIPS)

Final score
19.04 of 100Reported as group
Quality
4.75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-2177GUMDDiagnostic Radiology Physician
35.088516OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiance Imaging and Radiology, LLC Diagnostic Radiology CurrentSince Jan 28, 2018 Accepting new patients
Proscan Imaging Gahanna, LLC Diagnostic Radiology CurrentSince May 3, 2008 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Oct 28, 2025 Accepting new patients
Proscan Radiology Northern Kentucky, LLC Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Oct 31, 2024 Accepting new patients
Proscan Imaging of Jeffersonville, LLC Diagnostic Radiology CurrentSince Nov 20, 2023 Accepting new patients
Proscan Womens Imaging at Redbank LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Nicholasville Road MRI, LLC Diagnostic Radiology CurrentSince Oct 7, 2012 Accepting new patients
Proscan Imaging of Troy, LLC Diagnostic Radiology CurrentSince Jun 13, 2007 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology CurrentSince Jun 13, 2007 Accepting new patients
Proscan Womens Imaging at Redbank Diagnostic Radiology Current Accepting new patients
County of Murray Current Accepting new patients
Proscan Imaging Southfield PLLC Diagnostic Radiology CurrentSince Mar 28, 2019 Accepting new patients
Proscan Imaging of Louisville LLC Diagnostic Radiology CurrentSince Mar 4, 2013 Accepting new patients
Maximum Resolution Imaging LLC Diagnostic Radiology CurrentSince Mar 22, 2024 Accepting new patients
Western Hills Open MRI, LLC Diagnostic Radiology CurrentSince Jul 12, 2005 Accepting new patients
Proscan Imaging of Pickerington, LLC Diagnostic Radiology CurrentSince Jun 14, 2007 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Oct 28, 2025 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince May 7, 2020 Accepting new patients
Proscan Open MRI North, LTD. Diagnostic Radiology CurrentSince Jun 13, 2007 Accepting new patients
Proscan Imaging of Greenwood, LLC Diagnostic Radiology CurrentSince Aug 13, 2019 Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients
Eastside MRI Limited Partnership Past Accepting new patients
Amelin Radiology P.a. Diagnostic Radiology Past Accepting new patients
Proscan Pink Ribbon Center, LLC Diagnostic Radiology Past Accepting new patients
Amd Southfield Michigan - Limited Partnership PastSince Mar 28, 2019 Accepting new patients
DRS. Hill & Thomas Co. Diagnostic Radiology Past Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology Past Accepting new patients
Imaging Center Maryland, LLC Diagnostic Radiology PastSince May 9, 2007 Accepting new patients

Locations

Dept AT 952576
Atlanta, GA 31192

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

568 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 331-5300

2463 Nicholasville Rd
Lexington, KY 40503
Phone (800) 642-6805

8827 Centre Park Dr
Ste B
Columbia, MD 21045
Phone (410) 772-3232

29877 Telegraph Rd
Ste 11
Southfield, MI 48034
Phone (248) 354-5511

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

4850 Red Bank Rd
Fl 2
Cincinnati, OH 45227
Phone (877) 729-6636

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

525 W Chester Pike
Ste 101A
Havertown, PA 19083
Phone (610) 449-2000

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1255422606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664",
            "telephone_number": "513-281-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664",
            "telephone_number": "513-281-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "HYUN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M-2177",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.088516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.