Individual provider Active NPI

Young Sug Song, MD

  • Diagnostic Radiology Physician
  • Mount Pleasant, SC
National Provider Identifier
1770569105
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20958 Issued in SC
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

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000759 SC Practitioner - Diagnostic Radiology 9830176429 Reassigns benefits to 5 organizations

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
Pelican II LLCGroup PAC ID 1759484082, 18 clinicians
Charleston Radiologists PAGroup PAC ID 9436054715, 35 clinicians

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 Hospital, Charleston, SC, CCN 420079
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
79.55
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127489FLMDDiagnostic Radiology Physician
20956SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Brfhh Monroe LLC Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Pelican II, LLC Body Imaging CurrentSince Oct 1, 2019 Accepting new patients
Charleston Radiologists PA Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Neuroimaging CurrentSince Oct 1, 2002 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 PastSince Oct 30, 2023 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.