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TAE H SONG
NPI 1053564732
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hollywood, FL

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 265-7750(954) 276-0280 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Apr 18, 2022 and 1 more (4 updates tracked since 2022).

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

NPI1053564732
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameTAE H SONG
Location Address3501 JOHNSON STHollywood, FL 33021-5421
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5603 · Fax (954) 276-0357
Phone(954) 265-7750
Fax(954) 276-0280
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 28, 2008
Last NPPES UpdateJanuary 24, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1053564732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in FL · ME165335
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
3501 JOHNSON ST, Hollywood, FL 33021
Open in Google Maps ↗

Secondary Practice Location 1

Location 11150 N 35th Ave Ste 440Hollywood, FL 33021-5430 · Phone (954) 265-6356 · Fax (954) 985-5154

Other Identifiers 1

Medicaid120907500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6204080377
PECOS Enrollment IDI20240227003035
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Physician 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.

New Patient
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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.

DR. LESTER GOLDBERG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. TIMOTHY M. BURKE D.O.
Emergency Medicine
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. MOHAMMAD ALI ANSARI LARI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921
DR. STANLEY JARED CHANG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 437-4800
SAMANTHA THEMAS
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 265-5900
DR. CHANCE MILAN YURCO PHARMD, RPH
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
MR. GREGORY GRAVES JR. CAA
Anesthesiologist Assistant
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 939-5000
DR. SHERRY LOU WOODHOUSE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921

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.

What insurance does Tae Song accept?

Health plans from AmeriHealth Caritas Next, AvMed and Oscar Health Maintenance Organization of Florida 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 18 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.