ALBERT JAE SONG M.D. NPI 1952563546

NPI Information

  • NPI: 1952563546
  • Provider Name: ALBERT JAE SONG, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2160 SOUTH FIRST AVENUE
    BUILDING 101, ROOM 1752
    MAYWOOD, IL
    ZIP 60153
  • Phone: (708) 216-9000

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NPI Details

Albert Jae Song, M.D. is a diagnostic radiology radiology in Maywood, IL with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Albert Jae Song, M.D. NPI is 1952563546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2004

The provider's business location address is:

2160 SOUTH FIRST AVENUE
BUILDING 101, ROOM 1752
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-9000
Fax: (708) 216-6269

The NPI 1952563546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of middle and lower spine, 2 views (HCPCS:72080)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of both knees while standing (HCPCS:73565)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • X-ray of shoulder, 1 view (HCPCS:73020)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of hand, 2 views (HCPCS:73120)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of collar bone (HCPCS:73000)
  • X-ray of ankle, 2 views (HCPCS:73600)

The enumeration date for this NPI number is 6/26/2008 and was last updated on 5/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology036128472ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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