MEDICAL PARK HOSPITAL LLC
NPI 1003867516
Specialist in Winston-salem, NC

Active since May 12, 2006CLIA 34D1044745 · Accreditation
1950 S HAWTHORNE RD, WINSTON-SALEM, NC 27103(336) 718-0600 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Mar 1, 2023, Dec 16, 2020 (3 updates tracked since 2020).

About Medical Park Hospital Llc NPPES

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

MEDICAL PARK HOSPITAL LLC (NPI 1003867516), doing business as Medical Park Professional Fee, is a healthcare organization registered as a specialist in Winston-salem, North Carolina and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through October 3, 2027 and lists Alisha Hutchens, Pres & Coo, as its authorized official.

NPPES Registry Identity

NPI1003867516
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMEDICAL PARK HOSPITAL LLC
Location Address1950 S HAWTHORNE RDWinston-salem, NC 27103-3912
Mailing Address2085 Frontis Plaza BlvdWinston-salem, NC 27103-5614 · (336) 277-7226 · Fax (336) 277-9795
Organization SubpartNo
Authorized OfficialAlisha HutchensPres & Coo · (336) 995-8885
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 24, 20253 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1003867516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1950 S HAWTHORNE RD, Winston-salem, NC 27103

Other Names 1

Doing Business AsMedical Park Professional Fee

Other Identifiers 1

Medicaid8907609NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Park Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

579

Medicare enrollment records show 579 clinicians reassign Medicare billing to Medical Park Hospital LLC, which bills Medicare for the services they deliver. Of these, 147 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Certified Registered Nurse Anesthetist (CRNA)544
Cardiovascular Disease (Cardiology)21
Cardiac Electrophysiology6
Interventional Cardiology5
Internal Medicine2
Advanced Heart Failure and Transplant Cardiology1

Nearest to this location (20)

See all 579
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548147333
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265217806
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508054222
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932806486
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033095088
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659926012
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851909626
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467285932
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285752279
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649904699
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 277-1000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104860972
3333 SILAS CREEK PKWY
Winston-salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093449472
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790152585
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5389
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386317642
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841073822
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699489484
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114857935
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5000
0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770525479
3333 SILAS CREEK PKWY
Winston-salem, NC 27103
(336) 718-5000
0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285821827
2448 MAPLEWOOD AVE
Winston Salem, NC 27103
(336) 723-7568
✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1144224890
3333 BROOKVIEW HILLS BLVD STE 207
Winston-salem, NC 27103
(336) 765-5250
✔ PECOS✔ Accepts Medicare1.3 mi
See all 579 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D1044745

Medical Park Hospital Resp Care Department - Abg · Winston Salem, NC
Active · expires Oct 3, 2027
CLIA Number34D1044745
Laboratory TypeHospital
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorDr. Farhan Ahmed
Laboratory Phone(336) 718-5013
Laboratory LocationMedical Park Hospital Resp Care Department - Abg1950 S Hawthorne Road, Winston Salem, NC 27103
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Medical Park Hospital LLC's NPI number?

The NPI number for Medical Park Hospital LLC is 1003867516. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Medical Park Professional Fee.

Where is Medical Park Hospital LLC located?

Medical Park Hospital LLC is located at 1950 S Hawthorne Rd, Winston-Salem, NC 27103. The listed phone number is (336) 718-0600.

What is Medical Park Hospital LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Medical Park Hospital LLC enrolled in Medicare?

Yes. Medical Park Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Park Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 579 clinicians in 6 Medicare specialties reassign their Medicare billing to Medical Park Hospital LLC. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (544), Cardiovascular Disease (Cardiology) (21) and Cardiac Electrophysiology (6). Of these, 147 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medical Park Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D1044745) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Park Hospital LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Medical Park Hospital LLC 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.

When was this NPI record last updated?

The NPPES record for Medical Park Hospital LLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.