JOSEPH SONG (MD) – Diagnostic Radiology Physician, NPI 1326493990
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for JOSEPH SONG (MD)
875 S Route 31
Crystal Lake, IL 600148190
Phone: (779) 220-5500
Type: Location
FIRST AVENUE AT 16TH STREET
BAIRD HALL, SUITE 16BH20
NEW YORK, NY 100033851
Phone: (212) 420-4340
Type: Mailing
901 Grant St
Harvard, IL 600331821
Phone: (815) 943-5431
Type: Location
70 Pine St Apt 727
New York, NY 100050015
Phone: (951) 786-0801
Type: Location
8201 E Riverside Blvd
Rockford, IL 611142300
Phone: (815) 971-7000
Type: Location
4755 OGLETOWN STANTON ROAD
NEWARK, DE 197182200
Phone: (302) 733-1840
Fax: (302) 733-1633
Type: Location
1770 IOWA AVE STE 280
RIVERSIDE, CA 925077401
Phone: (951) 786-0801
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220919001249 | I | Diagnostic Radiology | NY | TBD |
| I20240829002321 | I | Diagnostic Radiology | DE | TBD |
| I20240905001038 | I | Diagnostic Radiology | MI | TBD |
| I20241017002230 | I | Diagnostic Radiology | IL | TBD |
| I20241112002597 | I | Diagnostic Radiology | NM | TBD |
| I20241220001703 | I | Diagnostic Radiology | CA | TBD |
| I20250227003465 | I | Diagnostic Radiology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| - | DE | |
| - | DE | |
| - | PA | |
| Internal Medicine | DE | |
| Physician Assistant | DE | |
| Nurse Practitioner | PA | |
| General Surgery | IL | |
| Diagnostic Radiology | NY | |
| Internal Medicine | NY |
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