Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Song Qing Zhao, MD

Individual provider Dermatopathology (Pathology) Physician · NPI 1912944752

Song Qing Zhao, MD is a Pathology in Merrillville, Indiana. Qualified in 1984, 42 years ago. Practices with Consultants in Pathology SC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana and Wisconsin.

Years since qualifying
42
Licensed in
IN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8701 Broadway
Merrillville, IN 46410-7035
Phone: (219) 738-5500
Fax: (219) 738-6628
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 01077724A (IN)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 45394 (WI)

Record details

NPI number1912944752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Consultants In Pathology Sc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare