SA RA PARK
NPI 1043665144
Student in an Organized Health Care Education/Training Program in Charlottesville, VA
About Sa Ra Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SA RA PARK (NPI 1043665144) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
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
Sa Ra Park 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sa Ra Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 2,112 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
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 3
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.
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.
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 Sa Ra Park's NPI number?
The NPI number for Sa Ra Park is 1043665144. It was assigned to this individual provider in the NPPES registry on April 27, 2016.
Where is Sa Ra Park located?
Sa Ra Park practices at 1215 Lee St Box 800744, Charlottesville, VA 22908. The listed phone number is (434) 924-1931.
What is Sa Ra Park's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sa Ra Park enrolled in Medicare?
Yes. Sa Ra 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 organizations bill Medicare for Sa Ra Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sa Ra Park reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each 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 Sa Ra Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sa Ra Park was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Sa Ra Park · NPI 1043665144
Student in an Organized Health Care Education/Training Program provider in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since April 27, 2016.
## Identity
- **NPI:** 1043665144 (Entity type: Individual)
- **Enumerated:** April 27, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, BOX 800744, Charlottesville, VA 22908-0816
- **Phone:** (434) 924-1931 · **Fax:** (434) 243-5770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1235322348, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** April 27, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1043665144) · Data from the CMS NPPES public registry.