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SUN A. PARK M.D.
NPI 1053569582
Internal Medicine in Madison, VA

Active since September 09, 2008PECOS Enrolled
1480 N MAIN ST, STE A, MADISON, VA 22727(540) 948-6743(540) 948-4527 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sun A. Park M.d. NPPES

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

SUN A. PARK M.D. (NPI 1053569582) is an individual internal medicine provider in Madison, Virginia, licensed in Virginia (0101257545) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053569582
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUN A. PARKCredential: M.D.
Location Address1480 N MAIN ST, STE AMadison, VA 22727-3093
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(540) 948-6743
Fax(540) 948-4527
Sole ProprietorNo
Enumeration DateSeptember 9, 2008
Last NPPES UpdateFebruary 16, 2015
✔ NPI 1053569582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0101257545✔ Licensed in NY · 003652
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1480 N MAIN ST, Madison, VA 22727
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Other Identifiers 2

Medicare PINJ400031974NY
Medicaid03264431NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun A. Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sun Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
29 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22727 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Clinic/Center (Public Health, State or Local)
1480 N MAIN ST
MADISON, VA 22727
Madison County (540) 948-5481
MICHELLE T. TRAN DO
Family Medicine
1480 N MAIN ST
MADISON, VA 22727
Madison County (540) 948-6743
MS. JILL WITHEROW YORK RN,CFNP
Nurse Practitioner (Family)
1480 N MAIN ST
MADISON, VA 22727
Madison County (540) 948-6743

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 Sun Park's NPI number?

The NPI number for Sun Park is 1053569582. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Sun Park located?

Sun Park practices at 1480 N Main St Ste A, Madison, VA 22727. The listed phone number is (540) 948-6743.

What is Sun Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sun Park enrolled in Medicare?

Yes. Sun Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sun Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sun Park reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The 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 Sun 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 Sun Park was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.