DR. SUSRAP SONG MD
NPI 1225265754
Obstetrics & Gynecology in Riverside, CA

Q: What is Susrap Song's NPI number?

The NPI number for Susrap Song is 1225265754. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Q: What is Susrap Song's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Susrap Song was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment

6405 DAY ST, RIVERSIDE, CA 92507(951) 697-5505(951) 697-5504 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2022, Nov 29, 2021 (2 updates tracked since 2021).

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About Dr. Susrap Song Md NPPES

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

DR. SUSRAP SONG MD (NPI 1225265754) is an individual obstetrics & gynecology provider in Riverside, California, licensed in California (A131345) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2005).

NPPES Registry Identity

NPI1225265754

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. SUSRAP SONGCredential: MD

Location Address6405 DAY STRiverside, CA 92507-0901

Mailing Address6405 Day StRiverside, CA 92507-0901 · (951) 697-5505 · Fax (951) 697-5504

Phone(951) 697-5505

Fax(951) 697-5504

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2005

Enumeration DateJune 11, 2009

Last NPPES UpdateApril 15, 20252 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1225265754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CA · A131345✔ Licensed in MI · 4301094566

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6405 DAY ST, Riverside, CA 92507

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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

Dr. Susrap Song Md 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 ID7810219631

PECOS Enrollment IDI20141206000020

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

13 services13 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92507 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

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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.

MARJORIE TERESA WIMMER MD

Internal Medicine