TAE KYUNG SONG M.D.
NPI 1043407430
Surgery - Vascular Surgery in Stanford, CA

Active since September 28, 2007PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR, ROOM H3600, STANFORD, CA 94305(650) 723-3639 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tae Kyung Song M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAE KYUNG SONG M.D. (NPI 1043407430) is an individual vascular surgery provider in Stanford, California, licensed in California (A81297) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2001).

NPPES Registry Identity

NPI1043407430
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameTAE KYUNG SONGCredential: M.D.
Location Address300 PASTEUR DR, ROOM H3600Stanford, CA 94305-2200
Mailing Address300 Pasteur Dr, Room H3600Stanford, CA 94305-2200 · (650) 723-3639
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2001
Enumeration DateSeptember 28, 2007
Last NPPES UpdateNovember 30, 2021
NPI 1043407430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · A81297
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
300 PASTEUR DR, Stanford, CA 94305

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tae Kyung Song M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698713444
PECOS Enrollment IDI20050421000698
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tae Song's NPI number?

The NPI number for Tae Song is 1043407430. It was assigned to this individual provider in the NPPES registry on September 28, 2007.

Where is Tae Song located?

Tae Song practices at 300 Pasteur Dr Room H3600, Stanford, CA 94305. The listed phone number is (650) 723-3639.

What is Tae Song's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Tae Song enrolled in Medicare?

Yes. Tae Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tae Song was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.