DR. HONGWOO SONG DO
NPI 1417454869
Family Medicine in Irvine, CA

Active since April 11, 2018PECOS Enrolled

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

Record update history: Aug 16, 2025, May 26, 2022, Sep 29, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Hongwoo Song Do NPPES

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

DR. HONGWOO SONG DO (NPI 1417454869) is an individual family medicine provider in Irvine, California, licensed in California (19661) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417454869
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HONGWOO SONGCredential: DO
Location Address80 DIAMONDIrvine, CA 92620-2143
Mailing Address80 DiamondIrvine, CA 92620-2143 · (516) 510-4400
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateAugust 16, 20254 updates tracked since enumeration
NPPES CertifiedAugust 16, 2025
✔ NPI 1417454869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 19661
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
80 DIAMOND, Irvine, CA 92620

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hongwoo Song Do 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 Reassignments

2

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

Primary Care
3680 E IMPERIAL HWY, SUITE 470
Lynwood, CA 90262
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
Family Medicine
866 S WESTMORELAND AVE STE 101
Los Angeles, CA 90005
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group

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 92620 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

Family Medicine
80 DIAMOND
IRVINE, CA 92620

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 Hongwoo Song's NPI number?

The NPI number for Hongwoo Song is 1417454869. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Hongwoo Song located?

Hongwoo Song practices at 80 Diamond, Irvine, CA 92620. The listed phone number is (516) 510-4400.

What is Hongwoo Song's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hongwoo Song enrolled in Medicare?

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

Which organizations bill Medicare for Hongwoo Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hongwoo Song reassigns Medicare benefits to 2 organizations: Med Forte Medical Group (Lynwood, CA) and Jonah Medical Group, Inc. (Los Angeles, 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 Hongwoo 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 Hongwoo Song was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.