KATHLEEN SONG DO
NPI 1851706261
Obstetrics & Gynecology in Kirkland, WA

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
12333 NE 130TH LN STE TAN 110, KIRKLAND, WA 98034(425) 285-0060 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2024, Apr 10, 2024 (2 updates tracked since 2024).

About Kathleen Song Do NPPES

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

KATHLEEN SONG DO (NPI 1851706261) is an individual obstetrics & gynecology provider in Kirkland, Washington, licensed in Washington (OP60849067) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of Pacific Medical College (2014).

NPPES Registry Identity

NPI1851706261
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHLEEN SONGCredential: DO
Location Address12333 NE 130TH LN STE TAN 110Kirkland, WA 98034-7467
Mailing Address12333 Ne 130th Ln Ste Tan 110Kirkland, WA 98034-7467 · (425) 285-0060
Sole ProprietorNo
Medical School CMSPacific Medical CollegeGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1851706261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WA · OP60849067
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
12333 NE 130TH LN STE TAN 110, Kirkland, WA 98034

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Song Do 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 ID8820214984
PECOS Enrollment IDI20181009003047
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 Kathleen Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
12333 NE 130TH LANE, #320
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: King County Public Hospital District No 2
  • 1,074 clinicians in this Medicare group
Family Medicine
222 STATE AVE N
Kent, WA 98030
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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 2

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

Obstetrics & Gynecology
12333 NE 130TH LN STE TAN 110
KIRKLAND, WA 98034
Obstetrics & Gynecology
12333 NE 130TH LN STE TAN 110
KIRKLAND, WA 98034

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 Kathleen Song's NPI number?

The NPI number for Kathleen Song is 1851706261. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Kathleen Song located?

Kathleen Song practices at 12333 NE 130th Ln Ste Tan 110, Kirkland, WA 98034. The listed phone number is (425) 285-0060.

What is Kathleen Song's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kathleen Song enrolled in Medicare?

Yes. Kathleen 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.

Which organizations bill Medicare for Kathleen Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Song reassigns Medicare benefits to 2 organizations: Public Hospital District No. 2 (Kirkland, WA) and Multicare Health System (Kent, WA). 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 Kathleen Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Song accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kathleen Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathleen Song affiliated with any hospitals?

According to CMS data, Kathleen Song is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Song was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.