Individual provider Active NPI

Xuyang Song, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lombard, IL
National Provider Identifier
1942681101
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
036.157676 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200911000820 LA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 7113226143 Reassigns benefits to 1 organization
I20210827002463 IL Practitioner - Orthopedic Surgery 7113226143 Reassigns benefits to 1 organization

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
Romano Orthopaedics, LLCGroup PAC ID 6507184363, 10 clinicians
Dynamic Physical Therapy, Inc.Group PAC ID 4284607680, 41 clinicians

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

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.157676ILMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 27, 2020 Accepting new patients
Romano Orthopaedics LLC Sports Medicine CurrentSince Sep 6, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic, LLC CurrentSince Jul 27, 2020 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.