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CANDICE EUNYOUNG SONG DO
NPI 1255080339
Pediatrics in Virginia Beach, VA

Active since March 23, 2022PECOS Enrolled
1950 GLENN MITCHELL DR STE 310, VIRGINIA BEACH, VA 23456(757) 507-0255(757) 507-0256 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Candice Eunyoung Song Do NPPES

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

CANDICE EUNYOUNG SONG DO (NPI 1255080339) is an individual pediatrics provider in Virginia Beach, Virginia, licensed in Virginia (0102209370) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255080339
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCANDICE EUNYOUNG SONGCredential: DO
Location Address1950 GLENN MITCHELL DR STE 310Virginia Beach, VA 23456-0019
Mailing Address601 Childrens LnNorfolk, VA 23507-1910 · (757) 668-7249
Phone(757) 507-0255
Fax(757) 507-0256
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1255080339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0102209370
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1950 GLENN MITCHELL DR STE 310, Virginia Beach, VA 23456
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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 (PECOS)

Candice Eunyoung Song Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628573078
PECOS Enrollment IDI20250925003206
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 Candice Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sentara Medical Group
8.1 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900

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 23456 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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 4

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

JUDIT MARIA CHAVARRIA ESPINOZA MD
Pediatrics
1950 GLENN MITCHELL DR STE 310
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-0255
KRISTIN MARIE GULDENSCHUH NP-C
Nurse Practitioner (Family)
1950 GLENN MITCHELL DR STE 310
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-0255
DR. MELISSA RACHEL LEXIER M.D.
Pediatrics
1950 GLENN MITCHELL DR STE 310
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-0255
DR. LISA DAWN STEPHENS MD
Pediatrics
1950 GLENN MITCHELL DR STE 310
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-0255

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 Candice Song's NPI number?

The NPI number for Candice Song is 1255080339. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Candice Song located?

Candice Song practices at 1950 Glenn Mitchell Dr Ste 310, Virginia Beach, VA 23456. The listed phone number is (757) 507-0255.

What is Candice Song's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Candice Song enrolled in Medicare?

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

Which organization bills Medicare for Candice Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Song reassigns Medicare benefits to Sentara Medical Group (Norfolk, VA). 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 Candice 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 Candice Song was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.