PETER YONG SOO PARK D.O.
NPI 1043672892
Radiology - Diagnostic Radiology in Houston, TX

Q: What is Peter Park's NPI number?

The NPI number for Peter Park is 1043672892. It was assigned to this individual provider in the NPPES registry on March 22, 2016. The provider is also known as Yong Soo Park.

Q: What is Peter Park's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Peter Park was last updated on March 28, 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 March 22, 2016PECOS EnrolledAccepts Medicare Assignment

6431 FANNIN ST, MSB 2.116, HOUSTON, TX 77030(713) 500-7640(713) 500-7647 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2017, Mar 22, 2016 (2 updates tracked since 2016).

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About Peter Yong Soo Park D.o. NPPES

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

PETER YONG SOO PARK D.O. (NPI 1043672892) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (T3676) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2016).

NPPES Registry Identity

NPI1043672892

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NamePETER YONG SOO PARKCredential: D.O.

Location Address6431 FANNIN ST, MSB 2.116Houston, TX 77030-1501

Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-4997

Phone(713) 500-7640

Fax(713) 500-7647

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2016

Enumeration DateMarch 22, 2016

Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1043672892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · T3676

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedInternal MedicineTaxonomy 207R00000X · License SL1170 (NV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6431 FANNIN ST, Houston, TX 77030

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Other Names 1

Former Name (1)Yong Soo Park

Secondary Practice Location 1

Location 115655 Cypress Wood Medical Dr Ste 100Houston, TX 77014-1487 · Phone (713) 442-1700

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

Peter Yong Soo Park D.o. 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 ID6204123151

PECOS Enrollment IDI20220613001911

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 5

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.

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

41 services29 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

29 services27 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

14 services12 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

12 services12 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

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.

DR. STUART MASON FRASER M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

6431 FANNIN ST, MSB 3.151
HOUSTON, TX 77030

Harris County (713) 500-5800

AMY ROSSI MD

Emergency Medicine

6431 FANNIN ST, JJL 431
HOUSTON, TX 77030

Harris County (713) 500-7882

MATTHEW KHOA NGUYEN

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-6113

MARY WAYNE PELTIER MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-5010

HANNA MAVRIC DO

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-7882

DR. DAVIDE CATTANO MD

Anesthesiology

6431 FANNIN ST, MSB 5.020
HOUSTON, TX 77030

Harris County (713) 500-6235

MICHAEL ANTHONY HOLZMAN

Orthopaedic Surgery

6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX 77030

Harris County (713) 500-5154

SHUBHANGI MEHRA

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-0798

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 Peter Park's NPI number?

The NPI number for Peter Park is 1043672892. It was assigned to this individual provider in the NPPES registry on March 22, 2016. The provider is also known as Yong Soo Park.

Where is Peter Park located?

Peter Park practices at 6431 Fannin St Msb 2.116, Houston, TX 77030. The listed phone number is (713) 500-7640.

What is Peter Park's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Peter Park enrolled in Medicare?

Yes. Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Park was last updated on March 28, 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.