Song Qing Zhao, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

01077724A Issued in IN

Practice address

8701 Broadway
Merrillville, IN 46410-7035

Phone

(219) 738-5500

Fax

(219) 738-6628

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL, FL3 enrollments

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 3

Specialty

Pathology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consultants in Pathology SCGroup PAC ID 0648251660, 6 clinicians

Pathology Consultants IncGroup PAC ID 2466352208, 20 clinicians

Integrated Regional Laboratories Pathology Services, LLCGroup PAC ID 9133244346, 132 clinicians

Deerfield Dermatology Associates, LTD.Group PAC ID 6204841760, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
• Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109
• Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172
• Community Hospital Hospital, Munster, IN, CCN 150125

Merit-based Incentive Payment System (MIPS)

Final score

83.98 of 100Reported as group

Quality

81.15

Improvement activities

40

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.

• Pathology Consultants Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Dyer, IN
  • NPI 1972596864
  Medicare reassignment Care Compare group NPD
• Consultants in Pathology SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Olympia Fields, IL
  • NPI 1023001914
  Medicare reassignment Care Compare group NPD
• Deerfield Dermatology Associates, LTD.

  • Dermatology Physician
  • Deerfield, IL
  • NPI 1225127244
  Medicare reassignment Care Compare group NPD
• Integrated Regional Laboratories Pathology Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298
  Medicare reassignment Care Compare group NPD
• Consolidated Pathology Consultants SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lake Forest, IL
  • NPI 1003884206
  Medicare reassignment NPD
• Pathology Consultants Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Valparaiso, IN
  • NPI 1881852507
  NPD
• Consolidated Pathology Consultants, SC

  • Clinical Pathology/Laboratory Medicine Physician
  • Libertyville, IL
  • NPI 1174762256
  NPD

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

• Franciscan Health Lafayette

  • General Acute Care Hospital
  • Lafayette, IN
  • NPI 1356435341
  Care Compare affiliation
• Munster Medical Research Foundation Inc

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation
• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation
• Franciscan Health Olympia Fields

  • General Acute Care Hospital
  • Olympia Fields, IL
  • NPI 1588771919
  Care Compare affiliation
• Lawnwood Medical Center Inc

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1912944752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107035",
            "telephone_number": "219-738-5500",
            "fax_number": "219-738-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "SONG",
        "middle_name": "QING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WI",
            "license": "45394",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01077724A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Zavala, RBT
• Ahmad F Zegar, MD
• Zen Wellness
• Zen Wellness & Retreats, Inc
• Iris Zendejas
• Anran Zhou, M.S.
• Raymond Zimmerman, M.D.
• Taryn Zimmerman, OTR
• Melanie Zivanovich
• Anne Young Zou

• Anatomic Pathology & Clinical Pathology Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.