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JOSEPH PARK MD
NPI 1053990937
Pediatrics - Sports Medicine in Baltimore, MD

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
1000 HILLTOP CIR STE 201, BALTIMORE, MD 21250(410) 448-6400(410) 448-3571 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Apr 7, 2021 (2 updates tracked since 2021).

About Joseph Park Md NPPES

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

JOSEPH PARK MD (NPI 1053990937) is an individual sports medicine provider in Baltimore, Maryland, licensed in Wisconsin (83805-20) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Umd Rehabilitation & Orthopaedic Institute, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1053990937
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameJOSEPH PARKCredential: MD
Location Address1000 HILLTOP CIR STE 201Baltimore, MD 21250-0001
Mailing AddressPo Box 64134Baltimore, MD 21264-4134 · (667) 214-2714 · Fax (410) 448-6926
Phone(410) 448-6400
Fax(410) 448-3571
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1053990937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in WI · 83805-20
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1000 HILLTOP CIR STE 201, Baltimore, MD 21250
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Secondary Practice Location 1

Location 1600 Highland AveMadison, WI 53792-1716 · Phone (608) 263-6400

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

Joseph Park Md 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 ID1456750272
PECOS Enrollment IDI20251020001682, I20251023003438
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 Reassignments

2

Medicare enrollment records show Joseph Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Maryland Orthopaedic Trauma Associates, PA
5.1 mi
Orthopaedic Trauma
22 S GREENE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: University Of Maryland Orthopaedic Trauma Associates, P.A.
  • 56 clinicians in this Medicare group
NPI 1497708051 (410) 328-6040
University Of Maryland Orthopaedic Associates P A
5.1 mi
Pediatric Orthopaedic Surgery
22 S GREENE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Medicare enrollment name: University Of Maryland Orthopaedic Associates PA
  • 45 clinicians in this Medicare group
NPI 1740235274 (667) 214-2732

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umd Rehabilitation & Orthopaedic Institute

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210058
Location2200 Kernan DriveBaltimore, MD 21207 · Baltimore County

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 Joseph Park's NPI number?

The NPI number for Joseph Park is 1053990937. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Joseph Park located?

Joseph Park practices at 1000 Hilltop Cir Ste 201, Baltimore, MD 21250. The listed phone number is (410) 448-6400.

What is Joseph Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Joseph Park enrolled in Medicare?

Yes. Joseph 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 Joseph Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Park reassigns Medicare benefits to 2 organizations: University Of Maryland Orthopaedic Trauma Associates, PA (Baltimore, MD) and University Of Maryland Orthopaedic Associates P A (Baltimore, MD). 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 Joseph Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joseph Park affiliated with any hospitals?

According to CMS data, Joseph Park is affiliated with Umd Rehabilitation & Orthopaedic Institute.

When was this NPI record last updated?

The NPPES record for Joseph Park was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.