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PATRICIA A SONG M.D.
NPI 1255398392
Internal Medicine in Riverside, RI

Active since May 01, 2006PECOS Enrolled
375 WAMPANOAG TRL, SUITE 201, RIVERSIDE, RI 02915(401) 649-4020(401) 649-4021 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patricia A Song M.d. NPPES

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

PATRICIA A SONG M.D. (NPI 1255398392) is an individual internal medicine provider in Riverside, Rhode Island, licensed in Rhode Island (MD07579) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255398392
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePATRICIA A SONGCredential: M.D.
Location Address375 WAMPANOAG TRL, SUITE 201Riverside, RI 02915-2232
Mailing Address17 Virginia Ave, Suite 107Providence, RI 02905-4406 · (401) 443-4992 · Fax (401) 784-4902
Phone(401) 649-4020
Fax(401) 649-4021
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateSeptember 12, 2016
✔ NPI 1255398392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in RI · MD07579✔ Licensed in MA · 71729
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
375 WAMPANOAG TRL, Riverside, RI 02915
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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)

Patricia A Song M.d. 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 Patricia Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brown Medicine
Same address
Endocrinology, Diabetes & Metabolism
375 WAMPANOAG TRL
Riverside, RI 02915
  • Reassigned Medicare billing, Rhode Island enrollment
  • 256 clinicians in this Medicare group
NPI 1104564137 (401) 444-7793

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

Areas of Expertise CMS Part B claims 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
335 services172 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
129 services129 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
57 services37 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
52 services52 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
52 services52 patients
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.
41 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers30 claims68 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims15 services$1.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JONATHAN A LEVISS MD
Internal Medicine
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4020
THOMAS D DENUCCI M.D.
Internal Medicine (Gastroenterology)
375 WAMPANOAG TRL, SUITE 202A
RIVERSIDE, RI 02915
Providence County (401) 649-4030
MRIGANKA SINGH M.D.
Internal Medicine (Geriatric Medicine)
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4010
KRISTEN TILLQUIST DO
Internal Medicine (Nephrology)
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4060
DONNA MARIE RONDEAU-MARZULLO NP
Nurse Practitioner (Gerontology)
375 WAMPANOAG TRL, SUITE 102
RIVERSIDE, RI 02915
Providence County (401) 649-4010
DR. ANKUR SHAH M.D.
Internal Medicine (Nephrology)
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4060
REGINALD Y GOHH MD
Internal Medicine (Nephrology)
375 WAMPANOAG TRL, SUITE 302A
RIVERSIDE, RI 02915
Providence County (401) 649-4060
GABRIELLE HERMES BURKE NP
Nurse Practitioner (Family)
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4030

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 Patricia Song's NPI number?

The NPI number for Patricia Song is 1255398392. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Patricia Song located?

Patricia Song practices at 375 Wampanoag Trl Suite 201, Riverside, RI 02915. The listed phone number is (401) 649-4020.

What is Patricia Song's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patricia Song enrolled in Medicare?

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

Which organization bills Medicare for Patricia Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Song reassigns Medicare benefits to Brown Medicine (Riverside, RI). 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 Patricia 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 Patricia Song was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.