DR. NELLY SONG M.D.
NPI 1720465735
Family Medicine in San Jose, CA
About Dr. Nelly Song M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NELLY SONG M.D. (NPI 1720465735) is an individual family medicine provider in San Jose, California, licensed in California (A147185) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nelly Song M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN JOSE, CA 95119
SAN JOSE, CA 95119
SAN JOSE, CA 95119
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 Nelly Song's NPI number?
The NPI number for Nelly Song is 1720465735. It was assigned to this individual provider in the NPPES registry on April 28, 2015.
Where is Nelly Song located?
Nelly Song practices at 276 International Cir, San Jose, CA 95119. The listed phone number is (408) 972-7000.
What is Nelly Song's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nelly Song enrolled in Medicare?
Yes. Nelly Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Nelly Song affiliated with any hospitals?
According to CMS data, Nelly Song is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Nelly Song was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Nelly Song, M.D. · NPI 1720465735
Family Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since April 28, 2015.
## Identity
- **NPI:** 1720465735 (Entity type: Individual)
- **Enumerated:** April 28, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A147185 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 276 INTERNATIONAL CIR, San Jose, CA 95119-1130
- **Phone:** (408) 972-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720465735) · Data from the CMS NPPES public registry.