Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Song Ki Yu, DPM

Individual provider Podiatrist · NPI 1790770352

Dr. Song Ki Yu, DPM is a Podiatry in Fairfield, Connecticut. Qualified in 1994, 32 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
32
Licensed in
CT
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1817 Black Rock Tpke Ste 8 Advanced Medical Footcare
Fairfield, CT 06825-3546
Phone: (203) 330-8080
Fax: (203) 334-6924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 000764 (CT)

Record details

NPI number1790770352
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESMarch 4, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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