KENNETH SONG MD
NPI 1548846579
Pediatrics in Milpitas, CA

Active since March 21, 2021PECOS Enrolled
589 LOS COCHES ST, MILPITAS, CA 95035(408) 945-2933 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2024, Jun 30, 2024, Mar 21, 2021 (3 updates tracked since 2021).

About Kenneth Song Md NPPES

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

KENNETH SONG MD (NPI 1548846579) is an individual pediatrics provider in Milpitas, California, licensed in California (A193199) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548846579
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKENNETH SONGCredential: MD
Location Address589 LOS COCHES STMilpitas, CA 95035-5423
Mailing Address589 Los Coches StMilpitas, CA 95035-5423 · (669) 314-0806
Sole ProprietorNo
Enumeration DateMarch 21, 2021
Last NPPES UpdateApril 22, 20253 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1548846579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A193199
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.
589 LOS COCHES ST, Milpitas, CA 95035

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Song Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95035 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 7

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

Pediatrics
589 LOS COCHES ST
MILPITAS, CA 95035
Pediatrics
589 LOS COCHES ST
MILPITAS, CA 95035
Pharmacy (Community/Retail Pharmacy)
589 LOS COCHES ST
MILPITAS, CA 95035
Pediatrics
589 LOS COCHES ST
MILPITAS, CA 95035
Pediatrics
589 LOS COCHES ST
MILPITAS, CA 95035
Pediatrics
589 LOS COCHES ST
MILPITAS, CA 95035
Pediatrics
589 LOS COCHES ST
MILPITAS, CA 95035

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 Kenneth Song's NPI number?

The NPI number for Kenneth Song is 1548846579. It was assigned to this individual provider in the NPPES registry on March 21, 2021.

Where is Kenneth Song located?

Kenneth Song practices at 589 Los Coches St, Milpitas, CA 95035. The listed phone number is (408) 945-2933.

What is Kenneth Song's specialty?

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

Is Kenneth Song enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Song was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.