Active NPI
Mingjun Song, MBBS, MRCP
- Gastroenterology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- U1386
- Practice address
- 2802 Webberville Rd
Austin, TX 78702-2947 - Phone
- (512) 978-8130
- NPI assigned
- Mar 23, 2017
- Last updated
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | U1386 | TX | Primary |
Addresses
Primary practice location
2802 Webberville Rd
Austin, TX 78702-2947
Mailing address
1111 E Cesar Chavez St
Austin, TX 78702-4209
Phone (512) 978-8130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1801 Inwood Rd
Dallas, TX 75235-7202
Phone (214) 645-2035
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 47 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1386 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
1801 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2035
1801 Inwood Rd
Ste 6102
Dallas, TX 75235
Phone (214) 645-0595
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UT Southwestern University Hospital
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1952832719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E CESAR CHAVEZ ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787024209",
"telephone_number": "512-978-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 WEBBERVILLE RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022947",
"telephone_number": "512-978-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "MINGJUN",
"credential": "MBBS, MRCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "U1386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Jordan Sondgeroth, ACNS
- Sonex Therapy LLC (Sonex Orthopedics)
- Joan Soobin Song, RDN, LDN
- Linda Huadan Song, MA, CCC-SLP
- Marissa Elizabeth Song
- Yaoping Violet Song, PHD, LAC
- Songbird Counseling, PLLC
- Songbird Health TX LLC (Songbird Therapy)
- Kassie Jean Soni, LPC
- Sonic Reference Laboratory, Inc (Sonic Reference Laboratory)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.