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DONGLI SONG MD
NPI 1083785778
Pediatrics - Neonatal-Perinatal Medicine in San Jose, CA

Active since November 13, 2006PECOS Enrolled
751 S BASCOM AVE, NEONATOLOGY DEPT, SAN JOSE, CA 95128(408) 885-5000 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dongli Song Md NPPES

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

DONGLI SONG MD (NPI 1083785778) is an individual neonatal-perinatal medicine provider in San Jose, California, licensed in California (A71226) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083785778
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDONGLI SONGCredential: MD
Location Address751 S BASCOM AVE, NEONATOLOGY DEPTSan Jose, CA 95128-2604
Mailing Address751 S Bascom AveSan Jose, CA 95128-2604 · (408) 885-5000
Phone(408) 885-5000
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1083785778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A71226
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License A71226 (CA)
751 S BASCOM AVE, San Jose, CA 95128
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Other Identifiers 1

Medicaid00A712260CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dongli Song Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Dongli Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
Same address
Anesthesiology
751 S. BASCOM AVENUE
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1588721500 (408) 885-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. TRANG N NGUYEN PHARM.D
Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-2360
DR. ILANA TRAYNIS M.D.
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Santa Clara County (408) 885-6300
DR. ABBY KATHERINE SCURFIELD MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
GABRIELLE MINEHAN CCP
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
PRIYA NIGAM MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CAROLINE DENISON JORDAN
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MICHAEL NATHANSON MD, PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
EAMONN PATRICK DUNPHY MD
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128
Santa Clara County (408) 885-4150

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 Dongli Song's NPI number?

The NPI number for Dongli Song is 1083785778. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Dongli Song located?

Dongli Song practices at 751 S Bascom Ave Neonatology Dept, San Jose, CA 95128. The listed phone number is (408) 885-5000.

What is Dongli Song's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Dongli Song enrolled in Medicare?

Yes. Dongli Song is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dongli Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dongli Song reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dongli Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dongli Song was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.