MAUREEN R. PARK MD
NPI 1093893737
Obstetrics & Gynecology in Elk Grove, CA

Q: What is Maureen Park's NPI number?

The NPI number for Maureen Park is 1093893737. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Maureen Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Maureen Park was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 01, 2006PECOS Enrolled

9201 BIG HORN BLVD, ELK GROVE, CA 95758(916) 478-5000 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Maureen R. Park Md NPPES

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

MAUREEN R. PARK MD (NPI 1093893737) is an individual obstetrics & gynecology provider in Elk Grove, California, licensed in California (A73877) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093893737

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMAUREEN R. PARKCredential: MD

Location Address9201 BIG HORN BLVDElk Grove, CA 95758-1240

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262

Phone(916) 478-5000

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateDecember 20, 2021

✔ NPI 1093893737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A73877

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

9201 BIG HORN BLVD, Elk Grove, CA 95758

Open in Google Maps ↗

Other Identifiers 1

Medicaid00A738770CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen R. Park Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

Leave this field empty

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.

KIMBERLY T JOHNSON LCSW

Social Worker (Clinical)