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DR. PHILIP SONG M.D.
NPI 1083859888
Dermatology in Alamo, CA

Active since December 08, 2008PECOS EnrolledAccepts Medicare Assignment
3201 DANVILLE BLVD STE 110, ALAMO, CA 94507(925) 362-0992 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Dec 17, 2021, Jul 6, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Philip Song M.d. NPPES

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

DR. PHILIP SONG M.D. (NPI 1083859888) is an individual dermatology provider in Alamo, California, licensed in California (A161047) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2011).

NPPES Registry Identity

NPI1083859888
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PHILIP SONGCredential: M.D.
Location Address3201 DANVILLE BLVD STE 110Alamo, CA 94507-1938
Mailing Address3201 Danville Blvd Ste 110Alamo, CA 94507-1938
Phone(925) 362-0992
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2011
Enumeration DateDecember 8, 2008
Last NPPES UpdateSeptember 1, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1083859888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A161047
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3201 DANVILLE BLVD STE 110, Alamo, CA 94507
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip 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 ID3971761032
PECOS Enrollment IDI20190716002909
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 Reassignments

2

Medicare enrollment records show Philip Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden State Dermatology Associates Inc
5.4 mi
Dermatology
355 LENNON LN STE 255
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
NPI 1700860871 (925) 932-7704
Permanente Medical Group Inc
19 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94507 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Philip Song's NPI number?

The NPI number for Philip Song is 1083859888. It was assigned to this individual provider in the NPPES registry on December 8, 2008.

Where is Philip Song located?

Philip Song practices at 3201 Danville Blvd Ste 110, Alamo, CA 94507. The listed phone number is (925) 362-0992.

What is Philip Song's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Philip Song enrolled in Medicare?

Yes. Philip 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.

Which organizations bill Medicare for Philip Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Song reassigns Medicare benefits to 2 organizations: Golden State Dermatology Associates Inc (Walnut Creek, CA) and Permanente Medical Group Inc (Richmond, CA). Each 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 Philip 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 Philip Song was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.