DR. JINSUP SONG (DPM PHD) – Podiatrist, NPI 1295721777

DR. JINSUP SONG (DPM PHD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PODIATRY. They hold the professional credentials DPM PHD. They hold a License No. SC004393L (PA). The NPI Number for DR. JINSUP SONG (DPM PHD) is 1295721777

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JINSUP SONG (DPM PHD)
NPI
1295721777
Phone
(215) 238-6600
Address
TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE
Enumeration Date
21 September 2005
Last Update Date
3 October 2023

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2157775808
Graduation Year
1997 (29 years ago)
PAC ID
2668660457
Group Practice PAC ID
2961314299
Professional Enrollment ID
I20101221000350
Address ID
PA191405007PH3223XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,279 PODIATRY in PA

Provider Addresses for DR. JINSUP SONG (DPM PHD)

  • TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE

    PO BOX 827282

    PHILADELPHIA, PA 191820001

    Phone: (215) 238-6600

    Fax: (215) 629-0716

    Type: Mailing

  • TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE PO BOX 22433

    NEW YORK, NY 100872433

    Phone: (215) 777-5808

    Fax: (215) 777-5716

    Type: Mailing

  • 148 N 8TH ST

    PHILADELPHIA, PA 191072496

    Phone: (215) 777-5808

    Fax: (215) 777-5825

    Type: Location

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: 2010-12-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101221000350IPodiatryPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8951$0
11721Removal of fingernails or toenails, 6 or more nails2414$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 19182)

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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: 2961314299View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. JINSUP SONG (DPM PHD) across health systems?
The NPI 1295721777 uniquely identifies DR. JINSUP SONG (DPM PHD) in U.S. healthcare data.
Quick check: is DR. JINSUP SONG (DPM PHD) active?
Public NPPES data shows DR. JINSUP SONG (DPM PHD) with an active NPI status right now.
What does the directory say DR. JINSUP SONG (DPM PHD) does?
Insurance directories may phrase it differently, but here DR. JINSUP SONG (DPM PHD) maps to Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JINSUP SONG (DPM PHD)?
The directory associates DR. JINSUP SONG (DPM PHD) with Philadelphia, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JINSUP SONG (DPM PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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