Active NPI
Thomas K. Song, M.D.
- Diagnostic Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301075797
- Practice address
- Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202 - Phone
- (313) 916-9106
- Fax
- (313) 916-1249
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301075797 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202
Mailing address
Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202
Phone (313) 916-9106
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473175610 | Medicaid | MI | |
| TS075797 | Other | CHAMPUS-CHAMPUS | |
| 700H262300 | Other | BLUE CROSS-BLUE CROSS | |
| TS075797 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tsong1@hfhs.org | ||
| Direct Messaging Address | tsong16880@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Ford PL
Detroit, MI 48202-3450
Phone (313) 874-6677
14300 N Beck Rd
Plymouth, MI 48170-3377
Phone (734) 453-5600
14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-1000
19401 Hubbard Dr
Dearborn, MI 48126-2641
Phone (313) 916-2600
22505 Allen Rd
Woodhaven, MI 48183-2237
Phone (734) 671-6217
24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000
24565 Haig St
Taylor, MI 48180-3322
Phone (313) 291-7800
24725 Jefferson Ave
Saint Clair Shores, MI 48080-4500
Phone (586) 774-7800
2799 W Grand Blvd
Detroit, MI 48202-2608
2825 Livernois Rd
Troy, MI 48083-1214
Phone (248) 680-6000
29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone (734) 523-1050
3370 E Jefferson Ave
Detroit, MI 48207-4236
Phone (313) 656-1600
3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (586) 977-9300
39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone (248) 344-6688
40777 Ann Arbor Rd E
Henry Ford Health Ortho Hand Spec
Plymouth, MI 48170-4448
Phone (734) 928-1600
4600 Investment Dr
Troy, MI 48098-6368
Phone (248) 267-5000
5500 Auto Club Dr
Dearborn, MI 48126-2779
Phone (313) 425-4500
6530 Farmington Rd
West Bloomfield, MI 48322-3216
Phone (248) 661-8240
6773 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6100
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6470
7800 W Outer Dr
Detroit, MI 48235-3461
Phone (313) 543-6200
80650 Van Dyke Rd
Bruce TWP, MI 48065-1333
Phone (810) 798-8511
8391 Commerce Rd
Commerce Township, MI 48382-4489
Phone (248) 360-8100
Hospital & facility affiliations
- Henry Ford Health Hospital
- Henry Ford Health West Bloomfield Hospital
- Henry Ford Macomb Hospital
- Henry Ford Allegiance Health
- Sharp Chula Vista Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301075797 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Troy Internal Medicine, PC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Urgent Care | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Health System | Diagnostic Radiology | Current | Accepting new patients |
Locations
1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823
1500 E Medical Center Dr
Fl 3
Ann Arbor, MI 48109
Phone (734) 647-5944
80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410
30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
4600 Investment Dr
Ste 300
Troy, MI 48098
Phone (248) 267-5000
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Urgent Care Clinic/Center
- Detroit, MI
- NPI 1184389876
-
- Internal Medicine Physician
- Troy, MI
- NPI 1356450589
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1831123728
-
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1508942681
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Diagnostic Radiology
-
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Clinton Township, MI
- NPI 1598802936
Diagnostic Radiology
-
- Vascular & Interventional Radiology Physician
- Jackson, MI
- NPI 1194245472
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1427073428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "2799 WEST GRAND BOULEVARD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-916-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "2799 WEST GRAND BOULEVARD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-916-9106",
"fax_number": "313-916-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "THOMAS",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301075797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "473175610",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "TS075797",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "TS075797",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsong1@hfhs.org",
"affiliation": "N",
"address_1": "Henry Ford Health System",
"address_2": "2799 West Grand Boulevard",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "48202",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsong16880@direct.hfhs.org",
"affiliation": "N",
"address_1": "Henry Ford Health System",
"address_2": "2799 West Grand Boulevard",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "48202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.