1. Home
  2. Directory
  3. Washington
  4. Renton
  5. Internal Medicine
  6. NPI Profile

DR. FREDERICK PARK M.D., PH.D.
NPI 1013113208
Internal Medicine - Gastroenterology in Renton, WA

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
4011 TALBOT RD S, STE 500, RENTON, WA 98055(425) 251-5110(425) 793-7380 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Frederick Park M.d., Ph.d. NPPES

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

DR. FREDERICK PARK M.D., PH.D. (NPI 1013113208) is an individual gastroenterology provider in Renton, Washington, licensed in Washington (60653608) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of University Of Washington School Of Medicine (2006).

NPPES Registry Identity

NPI1013113208
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. FREDERICK PARKCredential: M.D., PH.D.
Location Address4011 TALBOT RD S, STE 500Renton, WA 98055-5773
Mailing AddressPo Box 59028Renton, WA 98058-2028 · (425) 251-5110 · Fax (425) 793-4707
Phone(425) 251-5110
Fax(425) 793-7380
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2006
Enumeration DateJune 25, 2007
Last NPPES UpdateNovember 14, 2016
✔ NPI 1013113208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WA · 60653608
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A106773 (CA)
4011 TALBOT RD S, Renton, WA 98055
Open in Google Maps ↗

Other Identifiers 2

Medicaid2061516WA
Medicare PING8955877WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Frederick Park M.d., Ph.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 ID4284874504
PECOS Enrollment IDI20160906002318
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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
65 services65 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
60 services59 patients
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.
46 services38 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
44 services44 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.
25 services25 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
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 20

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

CHAD CARSON MOLONEY PA-C
Physician Assistant (Surgical)
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
King County (425) 656-5060
KELSEY REGAN PLATT ARNP
Nurse Practitioner
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
King County (425) 656-5060
DOMINICK R TOULOUSE MD
Internal Medicine
4011 TALBOT RD S, SUITE 440
RENTON, WA 98055
King County (425) 793-4702
MRS. CHRISTINA MICHELLE JANDER PA-C
Physician Assistant
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
King County (425) 656-5060
ROY D YEN MD
Internal Medicine (Gastroenterology)
4011 TALBOT RD S, STE 500
RENTON, WA 98055
King County (425) 251-5110
DANIEL P O'NEILL MD
Internal Medicine (Gastroenterology)
4011 TALBOT RD S, SUITE 500
RENTON, WA 98055
King County (425) 251-5110
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Surgery
4011 TALBOT RD S, SUITE 420
RENTON, WA 98055
King County (425) 251-1322
SOUTHLAKE CLINIC INC., P.S.
Internal Medicine
4011 TALBOT RD S, SUITE 500
RENTON, WA 98055
King County (425) 251-5110

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 Frederick Park's NPI number?

The NPI number for Frederick Park is 1013113208. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Frederick Park located?

Frederick Park practices at 4011 Talbot Rd S Ste 500, Renton, WA 98055. The listed phone number is (425) 251-5110.

What is Frederick Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Frederick Park enrolled in Medicare?

Yes. Frederick 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 Frederick Park accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Frederick 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 Frederick Park affiliated with any hospitals?

According to CMS data, Frederick Park is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Frederick Park was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.