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

Q: 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.

Q: What is Minnsun Park's specialty?

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

Q: 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.

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: November 01, 2026.

On this page

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

Phone(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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Minnsun Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Las Cruces Physician Practices, LLC

1,489 mi

Vascular Surgery

4351 E LOHMAN AVE, SUITE 403
Las Cruces, NM 88011

Reassigned Medicare billing, New Mexico enrollment
193 clinicians in this Medicare group

NPI 1093947491 (575) 521-5277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

94 services84 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

88 services81 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

88 services88 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

78 services62 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

73 services66 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

69 services64 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

59 services59 patients

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report 93355

This procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.

33 services33 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

29 services25 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

28 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services19 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

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.

RACHEL GREEN NP

Nurse Practitioner

3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 222-6656

MISS BRANDY SHEREE FULTON MSN, APRN, FNP-BC

Nurse Practitioner (Family)

3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 222-6656

LAURA LICA

Physician Assistant

3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 222-6656

DR. MAJDI ASHCHI DO

Internal Medicine (Cardiovascular Disease)

3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 493-3333

CHARLES FRANCIS BOELTER PA-C

Physician Assistant

3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 493-3333

HYE YUN KWAG PA

Physician Assistant

3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (813) 482-5486

ASHCHI HEART & VASCULAR CENTER PA

Internal Medicine (Interventional Cardiology)

3900 UNIVERSITY BLVD S, SUITE A
JACKSONVILLE, FL 32216

Duval County (904) 222-6656

RON RAYMOND CABASAL OSORIO

Physician Assistant

3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 222-6656

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.

Which organization bills Medicare for Minnsun Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minnsun Park reassigns Medicare benefits to Las Cruces Physician Practices, LLC (Las Cruces, NM). The 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 Minnsun Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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, 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.