SONG PLASTIC SURGERY, INC.
NPI 1730445313
Surgery - Plastic and Reconstructive Surgery in Irvine, CA
About Song Plastic Surgery, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONG PLASTIC SURGERY, INC. (NPI 1730445313) is a healthcare organization registered as a plastic and reconstructive surgery in Irvine, California and active in the NPI registry since April 2012. The organization lists Kyle Robert Song, Owner / Principal, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Song Plastic Surgery, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Song Plastic Surgery, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Song Plastic Surgery, Inc.'s NPI number?
The NPI number for Song Plastic Surgery, Inc. is 1730445313. It was assigned to this organization in the NPPES registry on April 8, 2012.
Where is Song Plastic Surgery, Inc. located?
Song Plastic Surgery, Inc. is located at 4968 Booth Cir Suite 105, Irvine, CA 92604. The listed phone number is (949) 701-4454.
What is Song Plastic Surgery, Inc.'s specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Song Plastic Surgery, Inc. enrolled in Medicare?
Yes. Song Plastic Surgery, Inc. is registered in the Medicare PECOS enrollment system.
When is Song Plastic Surgery, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Song Plastic Surgery, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Song Plastic Surgery, Inc.. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Song Plastic Surgery, Inc. was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Song Plastic Surgery, Inc. · NPI 1730445313
Plastic and Reconstructive Surgery organization in Irvine, California. Organization record, active in the CMS NPPES registry since April 8, 2012.
## Identity
- **NPI:** 1730445313 (Entity type: Organization)
- **Enumerated:** April 8, 2012
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Kyle Song, OWNER / PRINCIPAL
## Practice location
- **Address:** 4968 BOOTH CIR, SUITE 105, Irvine, CA 92604-3360
- **Phone:** (949) 701-4454 · **Fax:** (949) 701-4878
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Plastic and Reconstructive Surgery) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2015
- **Other identifiers:** Other CK861T (CA); Other GA903A
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Source: [NPI Profile](https://npiprofile.com/npi/1730445313) · Data from the CMS NPPES public registry.