DR. IN SOON PARK MD
NPI 1083646350
Surgery in Brandon, FL

Q: What is In Soon Park's NPI number?

The NPI number for In Soon Park is 1083646350. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is In Soon Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for In Soon Park was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 07, 2006PECOS EnrolledAccepts Medicare Assignment

519 MEDICAL OAKS AVE, BRANDON, FL 33511(813) 685-7995(813) 685-8802 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. In Soon Park Md NPPES

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

DR. IN SOON PARK MD (NPI 1083646350) is an individual surgery provider in Brandon, Florida, licensed in Florida (ME93268) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1995).

NPPES Registry Identity

NPI1083646350

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. IN SOON PARKCredential: MD

Location Address519 MEDICAL OAKS AVEBrandon, FL 33511

Mailing Address519 Medical Oaks AveBrandon, FL 33511 · (813) 685-7995 · Fax (813) 685-8802

Phone(813) 685-7995

Fax(813) 685-8802

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1995

Enumeration DateJuly 7, 2006

Last NPPES UpdateAugust 7, 2024

NPPES CertifiedAugust 7, 2024

✔ NPI 1083646350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME93268

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

519 MEDICAL OAKS AVE, Brandon, FL 33511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. In Soon 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 ID2062459233

PECOS Enrollment IDI20050920000612

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

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

Physicians Professional Alliance, LLC

Same address

Surgery

519 MEDICAL OAKS AVE
Brandon, FL 33511

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1477179463 (813) 685-7995

Suncoast Surgical Associates P A

Same address

Surgery

519 MEDICAL OAKS AVE
Brandon, FL 33511

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Suncoast Surgical Associates PA
10 clinicians in this Medicare group

NPI 1780710020 (813) 685-7995

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 7

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

55 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services20 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

20 services20 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100243

Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County

Emergency services Birthing friendly

Baycare Hospital Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL

OwnershipProprietary

CMS Certification Number100362

Location4501 Bruce B. Downs BlvdWesley Chapel, FL 33544 · Pasco County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 10

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

DR. MICHAEL G SIEGMAN MD

Surgery