Mi Hye Song, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

S2173 Issued in TX

Practice address

1428 W Hebron Pkwy Ste 120
Carrollton, TX 75010-6347

Phone

(972) 215-7855

Fax

(469) 284-5543

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Dermatology

Education

University of Texas Medical School at San Antonio, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Song Dermatology PLLCGroup PAC ID 2365864998, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Song Dermatology PLLC

  • Dermatology Physician
  • Carrollton, TX
  • NPI 1740801646
  Medicare reassignment Care Compare group NPD Authorized official
• Clover Family Medicine, PLLC

  dba Southern Hospitality by CLOVER FAMILY MEDICINE

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1053992008
  NPD

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1821485434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MATAGORDA SPRINGS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750256808",
            "telephone_number": "972-786-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 W HEBRON PKWY STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106347",
            "telephone_number": "972-215-7855",
            "fax_number": "469-284-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "MI HYE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Song Dental PLLC (Carrollton Late-Night Dental Emergency)
• Song Dermatology PLLC
• Alexander Song, PHARMD
• Edward Song, L.AC., PH.D.
• Insoo Song, DDS
• Sonus-Texas, Inc.
• Sony C Markose D.D.S., P.C
• Ashraf A Soomar-Kheraj, D.C.
• Jennifer Soper
• Jessica Sorvari, BCBA, LBA

• Dermatology Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.