MIA SONG (DO) – Physical Medicine & Rehabilitation Physician, NPI 1164914263

MIA SONG (DO) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 25MB11516200 (NJ). The NPI Number for MIA SONG (DO) is 1164914263

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MIA SONG (DO)
NPI
1164914263
Phone
(267) 339-7843
Address
833 CHESTNUT ST STE 520
Enumeration Date
4 June 2018
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
6104897703
Graduation Year
2018 (8 years ago)
PAC ID
8426384769
Group Practice PAC ID
3678480290
Professional Enrollment ID
I20230727003732
Address ID
PA194263613CO201XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

589 PHYSICAL MEDICINE AND REHABILITATION in NJ

Provider Addresses for MIA SONG (DO)

  • 833 CHESTNUT ST STE 520

    PHILADELPHIA, PA 191074430

    Phone: (267) 339-7843

    Fax: (267) 339-3761

    Type: Mailing

  • 1 MEDICAL CENTER DR STE 162

    STRATFORD, NJ 08084

    Phone: (856) 566-6658

    Type: Location

  • Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States

    PHILADELPHIA, PA 191405103

    Phone: (215) 707-0798

    Type: Mailing

  • 600 EVERGREEN DR STE 201

    GLEN MILLS, PA 193421053

    Phone: (800) 321-9999

    Fax: (267) 479-1321

    Type: Location

  • 833 Chestnut St Ste 1220

    Philadelphia, PA 191074413

    Phone: (800) 321-9999

    Fax: (267) 479-1321

    Type: Location

  • 1118 W Baltimore Pike

    HC4 3rd Floor

    Media, PA 190636104

    Phone: (800) 321-9999

    Fax: (267) 479-1321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($217).

Total Amount

$217

General + Research + Ownership

Payments

4

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230329000733IPhysical Medicine And RehabilitationPATBD
I20230727003732IPhysical Medicine And RehabilitationNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6856$0
99204New patient office or other outpatient visit, 45-59 minutes5555$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4918$0
72110X-ray of lower and sacral spine, minimum of 4 views4242$0
99213Established patient office or other outpatient visit, 20-29 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678480290View full group profile
NameSpecialtyState
Family PracticePA
Family PracticeMN
Orthopedic SurgeryPA
Orthopedic Surgery, Sports MedicinePA
Physical Therapist In Private PracticeMN
P O D I A T R YDE
-MN
Family PracticePA
-PA
Family PracticeMN

Reviews

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Frequently asked questions

What federal number belongs to MIA SONG (DO)?
The federal identifier for MIA SONG (DO) is NPI 1164914263.
Is MIA SONG (DO)'s NPI currently valid?
The extract we use shows MIA SONG (DO) as active.
Does MIA SONG (DO) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for MIA SONG (DO). Clinical services aligned with this taxonomy classification.
Where does public data place MIA SONG (DO)?
The snapshot lists Philadelphia, Pennsylvania for MIA SONG (DO); download NPPES for the complete set.
Is MIA SONG (DO) a real provider?
This page reflects official NPPES data for NPI 1164914263. Always confirm identity and privileges with the practice and licensing boards.

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