Individual provider Active NPI

Rui Song, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1750404380
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N3321 Issued in TX
Practice address
17080 Red Oak Drive
Houston, TX 77090-2602
Phone
(281) 586-0834
Fax
(281) 586-0923
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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 54674 GA
Diagnostic Radiology Physician 2085R0202X N3321 TX Primary

Addresses

Primary practice location

17080 Red Oak Drive
Houston, TX 77090-2602

Mailing address

PO Box 203268
Dallas, TX 75320-3268
Phone (281) 586-0834

Other identifiers 1

IdentifierTypeStateIssuer
202331902MedicaidTX

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
I20090605000099 TX Practitioner - Diagnostic Radiology 5890888945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Rose Imaging Specialists PAGroup PAC ID 7517853351, 44 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

3160 Clarksville St
Paris, TX 75460-8015
Phone (866) 257-6864

3201 Matlock Rd
Suite 110
Arlington, TX 76015-2942
Phone (866) 717-2551

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

7777 Forest LN
Suite C236
Dallas, TX 75230-7514
Phone (214) 294-9051

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 324-6100

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54674GAMDDiagnostic Radiology Physician
N3321TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Imaging Specialists, PA Diagnostic Radiology CurrentSince Mar 1, 2015 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 17, 2022 Accepting new patients
Rose Imaging Specialists PA Diagnostic Radiology CurrentSince Mar 1, 2015 Accepting new patients
Columbus Mammography Center Inc Past Accepting new patients
Open MRI and CT Specialists of Stockbridge Diagnostic Radiology PastSince Mar 16, 2009 Accepting new patients
Ut Imaging - Houston LLP Diagnostic Radiology Past Accepting new patients

Locations

15601 Dallas Pkwy
Ste 500
Addison, TX 75001
Phone (469) 398-4129

12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211

12201 Renfert Way
Austin, TX 78758
Phone (512) 277-7500

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

5575 Warren Pkwy
Ste 220
Frisco, TX 75034
Phone (214) 618-3686

1250 8th Ave
Ste 130
Ft Worth, TX 76104
Phone (817) 886-0880

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6750 N MacArthur Blvd
Ste 153
Irving, TX 75039
Phone (469) 677-3174

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

3160 Clarksville St
Paris, TX 75460
Phone (903) 784-5206

10970 Shadow Creek Pkwy
Ste 190
Pearland, TX 77584
Phone (713) 770-7767

Interoperability endpoints

  • Direct secure messaging: rsong@direct.uspi.com

Organizations & group practices 6

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 6

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1750404380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753203268",
            "telephone_number": "281-586-0834",
            "fax_number": "281-586-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17080 RED OAK DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902602",
            "telephone_number": "281-586-0834",
            "fax_number": "281-586-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "RUI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "54674",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N3321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202331902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.