Individual provider Active NPI

Song-Yih Tu, M.D.

  • Emergency Medicine Physician
  • Greenville, SC
National Provider Identifier
1295766756
Registry record updated Jan 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30459 Issued in SC
Practice address
701 Grove Rd
Carolina Emergency Medicine
Greenville, SC 29605-5611
Phone
(864) 455-7000
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA07819300 NJ
Emergency Medicine Physician 207P00000X 30459 SC Primary
Emergency Medicine Physician 207P00000X 2008-01886 NC
Emergency Medicine Physician 207P00000X 207860 NY

Addresses

Primary practice location

701 Grove Rd
Carolina Emergency Medicine
Greenville, SC 29605-5611

Mailing address

322 Ridge Reserve Dr
Clover, SC 29710-6922
Phone (803) 831-1031

Other identifiers 1

IdentifierTypeStateIssuer
0059331MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20080128000415 SC Practitioner - Emergency Medicine 4789647173 Reassigns benefits to 1 organization
I20081202000739 NC Practitioner - Emergency Medicine 4789647173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.21 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
86.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207860NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Sandhills Emergency Physicians PA CurrentSince Jan 7, 2014 Accepting new patients
St Lukes Roosevelt Hospital Center Emergency Medicine Past Accepting new patients
Montefiore Medical Center Emergency Medicine Past Accepting new patients
St. Vincent'S Midtown Hospital Past Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

Organizations & group practices 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327190400000",
    "number": "1295766756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 RIDGE RESERVE DR",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297106922",
            "telephone_number": "803-831-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "address_2": "CAROLINA EMERGENCY MEDICINE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055611",
            "telephone_number": "864-455-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "SONG-YIH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07819300",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "30459",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2008-01886",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "207860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059331",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.