Individual provider Active NPI

Song Li, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Dallas, TX
National Provider Identifier
1376832998
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
U3418 Issued in TX
Practice address
11970 N Central Expy Ste 550
Dallas, TX 75243-3958
Phone
(972) 940-9520
Fax
(972) 940-9535
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X U3418 TX Primary

Addresses

Primary practice location

11970 N Central Expy Ste 550
Dallas, TX 75243-3958

Mailing address

11970 N Central Expy Ste 550
Dallas, TX 75243-3958
Phone (972) 940-9520

Other practice location 1

11970 N Central Expy Ste 340
Dallas, TX 75243-3787
Phone (972) 940-9520

Other identifiers 1

IdentifierTypeStateIssuer
1376832998MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713004131 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Advanced Heart Failure and Transplant Cardiology 5294951844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Advanced Heart Failure and Transplant Cardiology, Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Specialists of North Texas PLLCGroup PAC ID 1456535624, 69 clinicians

Practice addresses (Care Compare)

11970 N Central Expy
Suite 550
Dallas, TX 75243-3768
Phone (972) 566-7050

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
68.07
Promoting interoperability
99
Improvement activities
40
Cost
74.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of North Texas, PLLC CurrentSince Aug 22, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

11970 N Central Expy
Ste 550
Dallas, TX 75243
Phone (214) 239-7474

11970 N Central Expy
Ste 340
Dallas, TX 75243
Phone (972) 940-9520

11970 N Central Expy
Ste 510
Dallas, TX 75243
Phone (214) 575-5885

3537 S Interstate 35 E
Ste 305
Denton, TX 76210

8479 Davis Blvd
Ste 300
North Richland Hills, TX 76182
Phone (817) 479-3818

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

Interoperability endpoints

  • Direct secure messaging: sli345143@direct.ehre.uwmedicine.org

Organizations & group practices 1

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 2

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1376832998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433958",
            "telephone_number": "972-940-9520",
            "fax_number": "972-940-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433958",
            "telephone_number": "972-940-9520",
            "fax_number": "972-940-9535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11970 N Central Expy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433787",
            "country_code": "US",
            "telephone_number": "972-940-9520",
            "fax_number": "972-940-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "SONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "TX",
            "license": "U3418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376832998",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.