Active NPI
Young Sug Song, MD
- Diagnostic Radiology Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20958
- Practice address
- 1221 Chersonese Round
Mount Pleasant, SC 29464-9545 - Phone
- (843) 446-8139
- NPI assigned
- Dec 18, 2005
- 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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 20958 | SC | |
| Body Imaging Physician | 2085B0100X | 20958 | SC | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 20958 | SC | |
| Neuroradiology Physician | 2085N0700X | 20958 | SC | |
| Nuclear Radiology Physician | 2085N0904X | 20958 | SC | |
| Pediatric Radiology Physician | 2085P0229X | 20958 | SC | |
| Radiation Oncology Physician | 2085R0001X | 20958 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | ME127489 | FL | |
| Therapeutic Radiology Physician | 2085R0203X | 20958 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 20958 | SC | |
| Radiological Physics Physician | 2085R0205X | 20958 | SC | |
| Diagnostic Ultrasound Physician | 2085U0001X | 20958 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 20958 | SC | Primary |
Addresses
Primary practice location
1221 Chersonese Round
Mount Pleasant, SC 29464-9545
Mailing address
1221 Chersonese Round
Mount Pleasant, SC 29464-9545
Phone (843) 446-8139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1241 Woodland Ave
Mt Pleasant, SC 29464-3288
Phone (843) 881-4020
2550 Elms Ctr Rd
North Charleston, SC 29406-9844
Phone (866) 717-9687
2880 Tricom St
N Charleston, SC 29406-9171
Phone (843) 797-5050
295 Midland Pkwy
Summerville, SC 29485-8104
Phone (866) 717-9687
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (866) 717-9687
8330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (866) 717-9687
Hospital & facility affiliations
- Trident Medical Center
- Colleton Medical Center
- Musc Medical Center
- Bon Secours-St Francis Xavier Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.62 of 100
- Quality
- 79.55
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME127489 | FL | MD | Diagnostic Radiology Physician |
| 20956 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Radiologists, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Brfhh Monroe LLC | Diagnostic Radiology | Current | Accepting new patients |
| Pelican II, LLC | Body Imaging | Current | Accepting new patients |
| Charleston Radiologists PA | Diagnostic Radiology | Current | Accepting new patients |
| Carolina Radiology Associates LLC | Diagnostic Neuroimaging | Current | Accepting new patients |
| Franklin & Seidelmann Inc | Diagnostic Neuroimaging | Past | Accepting new patients |
| Eastpointe Radiologists, PC | Nuclear Radiology | Past | Accepting new patients |
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Carolina Forest Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
1241 Woodland Ave
Mt Pleasant, SC 29464
Phone (843) 881-4020
1200 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 881-4323
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
199 Village Center Blvd
Ste 110
Myrtle Beach, SC 29579
Phone (843) 236-7878
4593 Oleander Dr
Ste 200
Myrtle Beach, SC 29577
Networks
- Freedom Health HMO Network
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Mount Pleasant, SC
- NPI 1811000177
-
- Diagnostic Radiology Physician
- Conway, SC
- NPI 1225014657
Diagnostic Neuroimaging
-
- Diagnostic Radiology Physician
- Myrtle Beach, SC
- NPI 1942491303
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1427049956
-
- Diagnostic Radiology Physician
- Grosse Pointe Woods, MI
- NPI 1558409649
Nuclear Radiology
-
- Diagnostic Radiology Physician
- Plantation, FL
- NPI 1972539245
Diagnostic Neuroimaging
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1770569105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 CHERSONESE ROUND",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294649545",
"telephone_number": "843-446-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 CHERSONESE ROUND",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294649545",
"telephone_number": "843-446-8139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "YOUNG",
"middle_name": "SUG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-18",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME127489",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "SC",
"license": "20958",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "20958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.