Active NPI
Rachel I Song, M.D.
- Ophthalmology Physician
- Dallas, TX
National Provider Identifier
1831456920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- S1281
- Practice address
- 9301 N Central Expy TWR 2
Ste 180
Dallas, TX 75231-0821 - Phone
- (214) 253-0202
- Fax
- (214) 253-0203
- NPI assigned
- Apr 13, 2012
- Last updated
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | S1281 | TX | Primary |
Addresses
Primary practice location
9301 N Central Expy TWR 2
Ste 180
Dallas, TX 75231-0821
Mailing address
9301 N Central Expy TWR 2
Ste 180
Dallas, TX 75231
Phone (214) 253-0202
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1281 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judith a. Kirby, M.D., P.a. | Ophthalmology | Current | Accepting new patients |
Locations
10740 N Central Expy
Ste 250
Dallas, TX 75231
Phone (214) 253-0202
9301 N Central Expy
Ste 180
Dallas, TX 75231
Phone (214) 253-0200
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1831456920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 N CENTRAL EXPY TWR 2",
"address_2": "STE 180",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-253-0202",
"fax_number": "214-253-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 N CENTRAL EXPY TWR 2",
"address_2": "STE 180",
"city": "DALLAS",
"state": "TX",
"postal_code": "752310821",
"telephone_number": "214-253-0202",
"fax_number": "214-253-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "RACHEL",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "S1281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.