PATRICIA A SONG (M.D.) – Internal Medicine Physician, NPI 1255398392

PATRICIA A SONG (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 71729 (MA). The NPI Number for PATRICIA A SONG (M.D.) is 1255398392

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA A SONG (M.D.)
NPI
1255398392
Phone
(401) 443-4992
Address
17 VIRGINIA AVE
Enumeration Date
1 May 2006
Last Update Date
12 September 2016

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
4183673262
Group Practice PAC ID
0446159776
Professional Enrollment ID
I20130807000645
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for PATRICIA A SONG (M.D.)

  • 17, Virginia Avenue, Providence, Providence County, Rhode Island, 02905, United States

    SUITE 107

    PROVIDENCE, RI 029054406

    Phone: (401) 443-4992

    Fax: (401) 784-4902

    Type: Mailing

  • 375 WAMPANOAG TRL

    SUITE 201

    RIVERSIDE, RI 029152232

    Phone: (401) 649-4020

    Fax: (401) 649-4021

    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: 2013-08-07

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
I20130807000645IInternal MedicineRITBD

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 minutes295175$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130130$0
83036Hemoglobin a1c level6744$0
99213Established patient office or other outpatient visit, 20-29 minutes6153$0
G0008Administration of influenza virus vaccine3737$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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Provider's Procedures

PATRICIA A SONG (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINERI83036Hemoglobin A1C level7048

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: 0446159776View full group profile
NameSpecialtyState
E N D O C R I N O L O G YRI
Geriatric MedicineRI
N E P H R O L O G YRI
Internal MedicineRI
-RI
-RI
Infectious DiseaseRI
-RI
Infectious DiseaseRI
Internal MedicineRI

Reviews

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Frequently asked questions

What unique ID ties claims to PATRICIA A SONG (M.D.)?
NPI 1255398392 is assigned to PATRICIA A SONG (M.D.) under the national enumeration system.
Does this profile mean PATRICIA A SONG (M.D.) is currently active?
Yes — PATRICIA A SONG (M.D.) appears active in the national provider directory.
Can you summarize PATRICIA A SONG (M.D.)'s specialty in plain language?
Clinically, the directory lists PATRICIA A SONG (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is PATRICIA A SONG (M.D.)'s primary listing?
We display Providence, Rhode Island because that is what the record indicates for PATRICIA A SONG (M.D.).
How can I contact PATRICIA A SONG (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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