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MRS. GINA K. SONG M.D.
NPI 1386642445
Pediatrics in St Charles, IL

Active since July 12, 2005PECOS Enrolled
2455 DEAN ST, SUITE A, ST CHARLES, IL 60175(630) 513-9160(630) 513-9617 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Gina K. Song M.d. NPPES

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

MRS. GINA K. SONG M.D. (NPI 1386642445) is an individual pediatrics provider in St Charles, Illinois, licensed in Illinois (036104024) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386642445
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. GINA K. SONGCredential: M.D.
Location Address2455 DEAN ST, SUITE ASt Charles, IL 60175-4830
Mailing Address2455 Dean St, Suite ASt Charles, IL 60175 · (630) 513-9160 · Fax (630) 513-9617
Phone(630) 513-9160
Fax(630) 513-9617
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateDecember 28, 2009
✔ NPI 1386642445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036104024
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.
2455 DEAN ST, St Charles, IL 60175
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Other Names 1

Former Name (1)Mrs. Gina M. Song M.d.

Other Identifiers 4

Medicare ID-Type Unspecified207006IL
Other4532123IL · Bcbs
Medicaid036104024IL
Medicare UPINH95434IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gina K. 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 Gina Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Dupage Physician Group
14 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300

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 60175 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 5

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

TLC MEDICAL GROUP, S.C.
Pediatrics
2455 DEAN ST, SUITE A
SAINT CHARLES, IL 60175
Kane County (630) 513-9160
ELMHURST DENTAL GROUP, LTD. DBA ST. CHARLES DENTAL
Dentist (General Practice)
2455 DEAN ST, UNIT E
ST CHARLES, IL 60175
Kane County (630) 377-7760
MS. SHERYL FRYE LCSW
Social Worker (Clinical)
2455 DEAN ST, UNIT3G
ST CHARLES, IL 60175
Kane County (630) 262-2640
HELEN CHAN
Dentist
2455 DEAN ST, SUITE D
ST CHARLES, IL 60175
Kane County (847) 708-1313
HC DMD INC
Dentist
2455 DEAN ST, SUITE D
ST CHARLES, IL 60175
Kane County (630) 377-3630

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 Gina Song's NPI number?

The NPI number for Gina Song is 1386642445. It was assigned to this individual provider in the NPPES registry on July 12, 2005. The provider is also known as Mrs. Gina M. Song M.D..

Where is Gina Song located?

Gina Song practices at 2455 Dean St Suite A, St Charles, IL 60175. The listed phone number is (630) 513-9160.

What is Gina Song's specialty?

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

Is Gina Song enrolled in Medicare?

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

Which organization bills Medicare for Gina Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Song reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, IL). 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 Gina 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 Gina Song was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.