Active NPI
Xuyang Song, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 036.157676
- Practice address
- 1919 S Highland Ave Ste 204C
Lombard, IL 60148-6193 - Phone
- (708) 848-4662
- Fax
- (708) 613-4319
- NPI assigned
- Jun 13, 2015
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036.157676 | IL | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 323567 | LA |
Addresses
Primary practice location
1919 S Highland Ave Ste 204C
Lombard, IL 60148-6193
Mailing address
1919 S Highland Ave Ste 204C
Lombard, IL 60148-6193
Phone (708) 848-4662
Other practice location 1
1221 S Clearview Pkwy
Jefferson, LA 70121-1011
Phone (504) 736-4800
Other practice location 2
110 S Paca St
6th floor Suite 300
Baltimore, MD 21201-1642
Phone (410) 328-6040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Albany Medical College of Union University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Erie CT
Suite 7120
Oak Park, IL 60302-2510
Phone (708) 848-4662
1049 Lake St
Oak Park, IL 60301-6708
1919 S Highland Ave
Suite 204C
Lombard, IL 60148-6193
Phone (708) 848-4662
520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 383-9300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.157676 | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Romano Orthopaedics LLC | Sports Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic, LLC | Current | Accepting new patients |
Locations
1 Erie Ct
Ste 7120
Oak Park, IL 60302
Phone (708) 848-4662
7411 Lake St
Ste 2110
River Forest, IL 60305
Phone (708) 488-1122
1201 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4800
1221 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4600
1514 Jefferson Hwy
New Orleans, LA 70121
Organizations & group practices 5
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.
-
dba Romano Orthopaedic Center
- Orthopaedic Surgery Physician
- Lombard, IL
- NPI 1235521386
Sports Medicine
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Body Gears - Lincoln Park
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1962974824
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Health Center - Slidell Womens Health
- General Practice Physician
- Slidell, LA
- NPI 1548695166
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Elmhurst Hospital
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
dba MacNeal Hospital
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
-
dba West Suburban Medical Center
- General Acute Care Hospital
- Oak Park, IL
- NPI 1619442266
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1942681101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S HIGHLAND AVE STE 204C",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486193",
"telephone_number": "708-848-4662",
"fax_number": "708-613-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S HIGHLAND AVE STE 204C",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486193",
"telephone_number": "708-848-4662",
"fax_number": "708-613-4319"
}
],
"practiceLocations": [
{
"address_1": "1221 S Clearview Pkwy",
"address_purpose": "LOCATION",
"city": "Jefferson",
"state": "LA",
"postal_code": "701211011",
"country_code": "US",
"telephone_number": "504-736-4800",
"fax_number": "504-736-4810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 S Paca St",
"address_2": "6th floor Suite 300",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011642",
"country_code": "US",
"telephone_number": "410-328-6040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONG",
"first_name": "XUYANG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-13",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036.157676",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "LA",
"license": "323567",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.