DR. NELLY SONG M.D.
NPI 1720465735
Family Medicine in San Jose, CA

Active since April 28, 2015PECOS EnrolledAccepts Medicare Assignment
276 INTERNATIONAL CIR, SAN JOSE, CA 95119(408) 972-7000 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2026, Dec 22, 2021, Jul 20, 2021 (3 updates tracked since 2021).

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

NPI1720465735
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NELLY SONGCredential: M.D.
Location Address276 INTERNATIONAL CIRSan Jose, CA 95119-1130
Mailing Address1150 N Indian Canyon DrPalm Springs, CA 92262-4872
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 28, 2015
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1720465735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A147185
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.

276 INTERNATIONAL CIR, San Jose, CA 95119

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.

PECOS PAC ID6204239023
PECOS Enrollment IDI20250926002766
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.

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, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician 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.

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 18

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

Nurse Practitioner (Obstetrics & Gynecology)
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Nurse Practitioner (Women's Health)
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Pharmacist
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Family Medicine
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Pharmacy (Community/Retail Pharmacy)
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR, 1ST FLOOR UNIT D
SAN JOSE, CA 95119
Advanced Practice Midwife
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Obstetrics & Gynecology
276 INTERNATIONAL CIR, DEPARTMENT OF OB/GYN
SAN JOSE, CA 95119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720465735, enumerated as an "individual" on April 28, 2015.

The provider is located at 276 INTERNATIONAL CIR SAN JOSE, CA 95119 and the phone number is (408) 972-7000.

Family Medicine with taxonomy code 207Q00000X.

Nelly Song is affiliated with: UNIVERSITY OF UTAH HOSPITALS AND CLINICS.