DR. LYLAN S. PARK MD
NPI 1043243561
Pediatrics in Lafayette, IN
About Dr. Lylan S. Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LYLAN S. PARK MD (NPI 1043243561) is an individual pediatrics provider in Lafayette, Indiana, licensed in Indiana (01052774A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 (PECOS)
Dr. Lylan S. Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAFAYETTE, IN 47904
LAFAYETTE, IN 47904
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 Lylan Park's NPI number?
The NPI number for Lylan Park is 1043243561. It was assigned to this individual provider in the NPPES registry on July 8, 2006.
Where is Lylan Park located?
Lylan Park practices at 2600 Greenbush St, Lafayette, IN 47904. The listed phone number is (765) 448-8000.
What is Lylan Park's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Lylan Park enrolled in Medicare?
Yes. Lylan Park is registered in the Medicare PECOS enrollment system.
What insurance does Lylan Park accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Lylan 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.
When was this NPI record last updated?
The NPPES record for Lylan Park was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Lylan S. Park, MD · NPI 1043243561
Pediatrics physician in Lafayette, Indiana. Individual provider, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1043243561 (Entity type: Individual)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01052774A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2600 GREENBUSH ST, Lafayette, IN 47904-2477
- **Phone:** (765) 448-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 3, 2021
- **Other identifiers:** Medicaid 201145160 (IN); Other 000000808598 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1043243561) · Data from the CMS NPPES public registry.