KIM-ANH NGUYEN SONG (M.D.) – Anesthesiology Physician, NPI 1386089464
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,591 ANESTHESIOLOGY in TX
Provider Addresses for KIM-ANH NGUYEN SONG (M.D.)
4150 V ST STE 1200
SACRAMENTO, CA 958171460
Phone:
Type: Mailing
1509 STONE DR
CARROLLTON, TX 750101147
Phone: (214) 498-4126
Type: Location
PO BOX 840853
DALLAS, TX 752840853
Phone: (972) 233-1999
Fax: (972) 233-3666
Type: Mailing
6606 LBJ FWY STE 200
DALLAS, TX 752406524
Phone: (972) 715-5000
Fax: (972) 715-9976
Type: Location
1509 Stone Dr
Carrollton, TX 750101147
Phone: (214) 498-4126
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Silk Road Medical, Inc. ($139).
Total Amount
$153
General + Research + Ownership
Payments
2
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $139 |
| Dermavant Sciences, Inc. | $15 |
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: 2018-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20181108001226 | I | Anesthesiology | 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 95817)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | WI |
Reviews
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