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ANDREW PARK MD
NPI 1093331373
Anesthesiology in Charleston, SC

Active since June 22, 2020PECOS Enrolled
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-4316 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrew Park Md NPPES

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

ANDREW PARK MD (NPI 1093331373) is an individual anesthesiology provider in Charleston, South Carolina, licensed in South Carolina (LL84614) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Morehouse School Of Medicine (2020).

NPPES Registry Identity

NPI1093331373
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameANDREW PARKCredential: MD
Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8905
Mailing Address169 Ashley Ave Rm 202, Msc333Charleston, SC 29425-8905
Phone(843) 792-4316
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2020
Enumeration DateJune 22, 2020
NPPES CertifiedJune 22, 2020
✔ NPI 1093331373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in SC · LL84614
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
169 ASHLEY AVE RM 202, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335567072
PECOS Enrollment IDI20240717002612
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 Andrew Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
268 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611
Mak Anesthesia Holdings LLC
281 mi
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 629 clinicians in this Medicare group
NPI 1912452939 (770) 702-1806

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 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

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.

SANAA ABDELMAGEED MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-4607
CARA MARIE BIRD MD
Pediatrics
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
KYLER PERRY DO
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
SAI KIRAN GUDLA
Radiology (Diagnostic Radiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2575
DR. ROBERT BOONE COLEMAN MD
Anesthesiology
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2322
ERIKA ANDRADE MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 513-9773
ALEXANDRIA GATES RASCO
Internal Medicine
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2731
DR. RORY DOWD MBBS, MENG
Internal Medicine (Clinical Cardiac Electrophysiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 876-4794

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 Andrew Park's NPI number?

The NPI number for Andrew Park is 1093331373. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Andrew Park located?

Andrew Park practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (843) 792-4316.

What is Andrew Park's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Andrew Park enrolled in Medicare?

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

Which organizations bill Medicare for Andrew Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Park reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Roswell, GA) and Mak Anesthesia Holdings LLC (Kennesaw, GA). 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 Andrew Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Park accept?

Health plans from Oscar Health list Andrew Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Park affiliated with any hospitals?

According to CMS data, Andrew Park is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.