Individual provider Active NPI

Song Il Yu, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1912927625
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00027603 Issued in AL
Practice address
5915 Chalkville Mountain Rd Ste 110
Birmingham, AL 35235-3354
Phone
(205) 547-3920
Fax
(205) 547-3925
NPI assigned
Jul 19, 2006
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00027603 AL Primary

Addresses

Primary practice location

5915 Chalkville Mountain Rd Ste 110
Birmingham, AL 35235-3354

Mailing address

1 W Lakeshore Dr Ste 100
Birmingham, AL 35209-7271
Phone (205) 547-3996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20061025000168 AL Practitioner - Family Practice 7618974262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Help 280 LLCGroup PAC ID 6800849860, 14 clinicians

Practice addresses (Care Compare)

2050 Gadsden Hwy
Suite 104
Birmingham, AL 35235-3260
Phone (205) 655-7231

4600 Hwy 280
Birmingham, AL 35242-5185
Phone (205) 408-1231

5915 Chalkville Mountain Rd
Suite 100
Birmingham, AL 35235-3354
Phone (205) 547-3920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.8 of 100Reported as individual
Quality
75.7
Promoting interoperability
0
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027603ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhelp Shelby, LLC Family Medicine CurrentSince Dec 23, 2021 Accepting new patients
Med Help 280 LLC CurrentSince May 1, 2013 Accepting new patients
After Hours Clinic Inc Family Medicine CurrentSince Jun 1, 2007 Accepting new patients
After Hours Clinic Inc Sumiton Family Medicine CurrentSince Dec 1, 2007 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

1800 Birmingham Ave
Jasper, AL 35501
Phone (205) 384-4585

3143 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

3170 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

385 Bryan Rd
Ste 140
Sumiton, AL 35148
Phone (205) 648-0240

Interoperability endpoints

  • Direct secure messaging: song.yu.1@17217.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1912927625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-547-3996",
            "fax_number": "202-438-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 CHALKVILLE MOUNTAIN RD STE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353354",
            "telephone_number": "205-547-3920",
            "fax_number": "205-547-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "SONG",
        "middle_name": "IL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00027603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.