Individual provider Active NPI

Yang Song, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1912413568
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059405 Issued in PA
Practice address
490 E North Ave
Ste 500
Pittsburgh, PA 15212-4765
Phone
(412) 359-8860
Fax
(412) 359-8809
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MD059405 PA
Physician Assistant 363A00000X MA059405 PA Primary

Addresses

Primary practice location

490 E North Ave
Ste 500
Pittsburgh, PA 15212-4765

Mailing address

490 E North Ave
Ste 500
Pittsburgh, PA 15212-4765
Phone (412) 359-8860

Other identifiers 2

IdentifierTypeStateIssuer
14240604OtherCAQH
103664052MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ysong160067@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180404001257 PA Practitioner - Physician Assistant 7810250834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1350 Locust St
Pittsburgh, PA 15219-4738

3471 5TH Ave
Suite 810
Pittsburgh, PA 15213-3206
Phone (412) 692-4920

532 S Aiken Ave
Suite 520
Pittsburgh, PA 15232-1521
Phone (412) 621-5822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059405PAMDPhysician Assistant
MD059405PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 7, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 21, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 21, 2022 Accepting new patients
Allegheny Clinic CurrentSince Jul 7, 2019 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1350 Locust St
Ste 311
Pittsburgh, PA 15219
Phone (412) 232-8840

490 E North Ave
Ste 500
Pittsburgh, PA 15212
Phone (412) 359-3895

3471 5th Ave
Ste 810
Pittsburgh, PA 15213
Phone (412) 692-4607

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: ysong160067@direct.ahn.org
  • Direct secure messaging: yang.song2@upmcdirect.com

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 3

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1912413568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124765",
            "telephone_number": "412-359-8860",
            "fax_number": "412-359-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE",
            "address_2": "STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124765",
            "telephone_number": "412-359-8860",
            "fax_number": "412-359-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "YANG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MD059405",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14240604",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103664052",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ysong160067@direct.ahn.org",
            "affiliation": "N",
            "address_1": "490 E NORTH AVE",
            "address_2": "STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.