Individual provider Active NPI

Alex Song, MD

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1316492598
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
80245 Issued in AZ
Practice address
4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050-3388
Phone
(602) 368-3448
Fax
(602) 357-3323
NPI assigned
Aug 17, 2016
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 80245 AZ Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 80245 AZ

Addresses

Primary practice location

4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050-3388

Mailing address

4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050-3388
Phone (602) 368-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20240502002172 TX Practitioner - Ophthalmology 7416397831 Reassigns benefits to 3 organizations
I20260626000136 AZ Practitioner - Ophthalmology 7416397831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80245AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Apr 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2024 Accepting new patients
Cameron Ria LLC Ophthalmology CurrentSince Jun 1, 2026 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2024 Accepting new patients
Oculoplastic Eye Surgeons of Phoenix P.L.C. CurrentSince Jun 1, 2026 Accepting new patients
Texas Children's Physician Group CurrentSince Nov 26, 2024 Accepting new patients
Baylor College of Medicine Ophthalmology CurrentSince Apr 1, 2024 Accepting new patients

Locations

4045 E Union Hills Dr
Ste 115
Phoenix, AZ 85050
Phone (602) 368-3448

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1977 Butler Blvd
#E2201
Houston, TX 77030
Phone (713) 798-5143

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1316492598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-368-3448",
            "fax_number": "602-357-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-368-3448",
            "fax_number": "602-357-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ALEX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "80245",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "80245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.