DR. ANDREW JOON PARK M.D.
NPI 1043661770
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Englewood, CO

Q: What is Andrew Park's NPI number?

The NPI number for Andrew Park is 1043661770. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Q: What is Andrew Park's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 23, 2016PECOS EnrolledAccepts Medicare Assignment

3425 S CLARKSON ST, ENGLEWOOD, CO 80113(303) 789-8220 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 26, 2021, Jun 13, 2017 and 1 more (4 updates tracked since 2016).

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About Dr. Andrew Joon Park M.d. NPPES

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

DR. ANDREW JOON PARK M.D. (NPI 1043661770) is an individual spinal cord injury medicine provider in Englewood, Colorado, licensed in Colorado (DR.0059534) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Rush Medical College Of Rush University (2016).

NPPES Registry Identity

NPI1043661770

Entity TypeIndividualMale

Primary Taxonomy2081P0004X

Provider Legal NameDR. ANDREW JOON PARKCredential: M.D.

Location Address3425 S CLARKSON STEnglewood, CO 80113-2811

Mailing Address3425 S Clarkson StEnglewood, CO 80113-2899 · (303) 789-8220

Phone(303) 789-8220

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2016

Enumeration DateJune 23, 2016

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedMay 26, 2021

✔ NPI 1043661770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0004X

License✔ Licensed in CO · DR.0059534

Definition

A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License DR.0059534 (CO), TL.0006653 (CO)

3425 S CLARKSON ST, Englewood, CO 80113

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Secondary Practice Location 1

Location 112631 E 17th Ave # Msf493Aurora, CO 80045-2527 · Phone (303) 724-7408 · Fax (303) 724-0863

Other Identifiers 1

Medicaid1043661770CO

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. Andrew Joon 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 ID547532236

PECOS Enrollment IDI20221130001166

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 2

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.

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.

44 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

29 services14 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier12 claims12 services$49.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. GRACE NOLDE-LOPEZ NP

Nurse Practitioner (Adult Health)