Xiaoyan Song, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

267041 Issued in NY

Practice address

4199 Main St Ste 201
Flushing, NY 11355-3821

Phone

(718) 961-1897

Fax

(718) 766-9749

NPI assigned

Dec 30, 2011

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Sunny Friendly Medical PCGroup PAC ID 7113156324, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunny Friendly Medical PC

  • Clinic/Center
  • Flushing, NY
  • NPI 1285077123
  Medicare reassignment Care Compare group Authorized official
• Chinatown True Care Medical PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1912567884
  NPD (past)
• Mimi G Bansal, MD

  • Procedural Dermatology Physician
  • Lake Success, NY
  • NPI 1003978669
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1821368390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 MAIN ST STE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555164",
            "telephone_number": "718-961-1897",
            "fax_number": "718-766-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 MAIN ST STE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553821",
            "telephone_number": "718-961-1897",
            "fax_number": "718-766-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "XIAOYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "267041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Song, DO
• Kristin Ohyoun Song, DDS
• Seung Yeon Song, L.AC
• Shuhua Song, M.B.
• Taeyoung Song
• Yiming Song
• Yong-Bum Song, PHARM.D.
• Young Song, CPED
• Young Jun Song, PHARMD
• Soni Care Physical Therapy PC

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.

Verify at the official NPI Registry.