SANGAE KIM-PARK, MD, PC
NPI 1053508200
Family Medicine in Birmingham, AL
About Sangae Kim-park, Md, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANGAE KIM-PARK, MD, PC (NPI 1053508200) is a healthcare organization registered as a family medicine in Birmingham, Alabama and active in the NPI registry since October 2007. The organization lists Chulwon Park, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sangae Kim-park, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sangae Kim-Park, MD, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sangae Kim-Park, MD, PC's NPI number?
The NPI number for Sangae Kim-Park, MD, PC is 1053508200. It was assigned to this organization in the NPPES registry on October 2, 2007.
Where is Sangae Kim-Park, MD, PC located?
Sangae Kim-Park, MD, PC is located at 52 Medical Park Dr E Suite 312, Birmingham, AL 35235. The listed phone number is (205) 702-6602.
What is Sangae Kim-Park, MD, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sangae Kim-Park, MD, PC enrolled in Medicare?
Yes. Sangae Kim-Park, MD, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sangae Kim-Park, MD, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Sangae Kim-Park, MD, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sangae Kim-Park, MD, PC was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sangae Kim-Park, Md, Pc · NPI 1053508200
Family Medicine organization in Birmingham, Alabama. Organization record, active in the CMS NPPES registry since October 2, 2007.
## Identity
- **NPI:** 1053508200 (Entity type: Organization)
- **Enumerated:** October 2, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Chulwon Park, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 52 MEDICAL PARK DR E, SUITE 312, Birmingham, AL 35235-3430
- **Phone:** (205) 702-6602 · **Fax:** (205) 836-3190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1053508200) · Data from the CMS NPPES public registry.