DR. MINNSUN KOH PARK M.D.
NPI 1003158767
Internal Medicine - Cardiovascular Disease in Jacksonville, FL

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment
3900 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 222-6656 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Minnsun Koh Park M.d. NPPES

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

DR. MINNSUN KOH PARK M.D. (NPI 1003158767) is an individual cardiovascular disease provider in Jacksonville, Florida, licensed in Florida (ME146480) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1003158767
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MINNSUN KOH PARKCredential: M.D.
Location Address3900 UNIVERSITY BLVD SJacksonville, FL 32216-4331
Mailing Address3900 University Blvd SJacksonville, FL 32216-4331 · (904) 222-6656
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2013
Enumeration DateMarch 20, 2013
Last NPPES UpdateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
NPI 1003158767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · ME146480
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3900 UNIVERSITY BLVD S, Jacksonville, FL 32216

Secondary Practice Location 1

Location 11430 Tulane Ave, SL-37New Orleans, LA 70112-2632 · Phone (504) 998-6689

Accepted Insurance

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. Minnsun Koh Park 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 ID9931480415
PECOS Enrollment IDI20220509001837
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.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
421 services202 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
188 services186 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
125 services121 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
115 services111 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
114 services111 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
101 services100 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Three Crosses Regional Hospital LLC

Acute Care Hospitals · Las Cruces, NM
OwnershipProprietary
CMS Certification Number320091
Location2560 Samaritan DriveLas Cruces, NM 88001 · Dona Ana County
Emergency services

Sierra Vista Hospital

Critical Access Hospitals · T Or C, NM
OwnershipGovernment - Local
CMS Certification Number321300
Location800 East 9th AvenueT Or C, NM 87901 · Sierra County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 15

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

Nurse Practitioner
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physician Assistant
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Internal Medicine (Cardiovascular Disease)
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physician Assistant
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physician Assistant
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Internal Medicine (Interventional Cardiology)
3900 UNIVERSITY BLVD S, SUITE A
JACKSONVILLE, FL 32216
Physician Assistant
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

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 Minnsun Park's NPI number?

The NPI number for Minnsun Park is 1003158767. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Minnsun Park located?

Minnsun Park practices at 3900 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 222-6656.

What is Minnsun Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Minnsun Park enrolled in Medicare?

Yes. Minnsun Park 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.

What insurance does Minnsun Park accept?

Health plans from Blue Cross and Blue Shield of Texas list Minnsun Park 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 Minnsun Park affiliated with any hospitals?

According to CMS data, Minnsun Park is affiliated with Memorial Medical Center, Mountain View Regional Medical Center, Three Crosses Regional Hospital LLC and Sierra Vista Hospital.

When was this NPI record last updated?

The NPPES record for Minnsun Park was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.