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JASON HYUNG SEOK PARK MD
NPI 1114543360
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since June 24, 2020PECOS Enrolled
3601 FIFTH AVENUE, SUITE 3A, FALK MEDICAL BUILDING, PITTSBURGH, PA 15213(412) 648-6406 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 3, 2026, May 26, 2026, Jul 3, 2023 and 2 more (5 updates tracked since 2020).

About Jason Hyung Seok Park Md NPPES

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

JASON HYUNG SEOK PARK MD (NPI 1114543360) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT227660) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114543360
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJASON HYUNG SEOK PARKCredential: MD
Location Address3601 FIFTH AVENUE, SUITE 3A, FALK MEDICAL BUILDINGPittsburgh, PA 15213
Mailing Address3600 Forbes Avenue, Forbes Tower Plaza Level Suite 140Pittsburgh, PA 15213
Phone(412) 648-6406
Sole ProprietorNo
Enumeration DateJune 24, 2020
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1114543360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Licenses✔ Licensed in PA · MT227660✔ Licensed in MI · 4351045901
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD495901 (PA)
3601 FIFTH AVENUE, Pittsburgh, PA 15213
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Hyung Seok 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. ANAMIL KHIYAMI
Student in an Organized Health Care Education/Training Program
3601 FIFTH AVENUE, SUITE 562 FALK MEDICAL BLDG.
PITTSBURGH, PA 15213
Allegheny County (212) 746-2942
NICOLE GEONNOTTI RDN, LDN
Dietitian, Registered
3601 FIFTH AVENUE, SUITE 1-B, ROOM 145B
PITTSBURGH, PA 15213
Allegheny County (412) 647-1342
SUBHANUDH THAVARAPUTTA MD
Student in an Organized Health Care Education/Training Program
3601 FIFTH AVENUE, FALK MEDICAL BLDG, SUITE 562
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
MR. LUQMAN CROAL-ABRAHAMS M.D.
Internal Medicine
3601 FIFTH AVENUE, SUITE 700
PITTSBURGH, PA 15213
Allegheny County (412) 647-7228
MICHELLE VERONICA DAVIES MS, RDN, LDN
Dietitian, Registered
3601 FIFTH AVENUE, SUITE 1-B, ROOM 145B
PITTSBURGH, PA 15213
Allegheny County (908) 246-8304
MRS. SHANNON MARIE JOHNSON CRNP
Nurse Practitioner (Family)
3601 FIFTH AVENUE, SUITE 562
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
SAHIL ANGELO MD
Internal Medicine (Critical Care Medicine)
3601 FIFTH AVENUE, SUITE 3A, FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 648-6406
ELIZABETH MEGAN KENNY MD
Student in an Organized Health Care Education/Training Program
3601 FIFTH AVENUE, FALK MEDICAL BUILDING, SIXTH FLOOR, SUITE 6B
PITTSBURGH, PA 15213
Allegheny County (412) 648-9670

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 Jason Park's NPI number?

The NPI number for Jason Park is 1114543360. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Jason Park located?

Jason Park practices at 3601 Fifth Avenue Suite 3A, Falk Medical Building, Pittsburgh, PA 15213. The listed phone number is (412) 648-6406.

What is Jason Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jason Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jason Park was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.