TAE H SONG
NPI 1053564732
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hollywood, FL
About Tae H Song NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAE H SONG (NPI 1053564732) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Hollywood, Florida, licensed in Florida (ME165335) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and maintains a secondary practice location in Hollywood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tae H Song is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Tae Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hollywood, FL 33021
- Reassigned Medicare billing, Florida enrollment
- Also billed through NPI 1538497086 (Florida)
- 36 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Regional Hospital
Acute Care Hospitals · Hollywood, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tae Song's NPI number?
The NPI number for Tae Song is 1053564732. It was assigned to this individual provider in the NPPES registry on October 28, 2008.
Where is Tae Song located?
Tae Song practices at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 265-7750.
What is Tae Song's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Tae Song enrolled in Medicare?
Yes. Tae Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tae Song's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tae Song reassigns Medicare benefits to 2 organizations: South Broward Hospital District (Hollywood, FL) and The University Of Chicago Medical Center (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tae Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tae Song accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, AvMed and Molina Healthcare and 2 other insurers list Tae Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tae Song affiliated with any hospitals?
According to CMS data, Tae Song is affiliated with Memorial Regional Hospital.
When was this NPI record last updated?
The NPPES record for Tae Song was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tae H Song · NPI 1053564732
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Hollywood, Florida. Individual provider, active in the CMS NPPES registry since October 28, 2008.
## Identity
- **NPI:** 1053564732 (Entity type: Individual)
- **Enumerated:** October 28, 2008
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** ME165335 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 JOHNSON ST, Hollywood, FL 33021-5421
- **Phone:** (954) 265-7750 · **Fax:** (954) 276-0280
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): South Broward Hospital District (NPI 1962991562, Hollywood, FL); The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 24, 2025
- **Other identifiers:** Medicaid 120907500 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1053564732) · Data from the CMS NPPES public registry.