DR. RICHARD PARK MD
NPI 1114985298
Emergency Medicine in Great Neck, NY
About Dr. Richard Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD PARK MD (NPI 1114985298) is an individual emergency medicine provider in Great Neck, New York, licensed in New York (224603) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Richard Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Richard Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90020
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREAT NECK, NY 11021
GREAT NECK, NY 11021
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 Richard Park's NPI number?
The NPI number for Richard Park is 1114985298. It was assigned to this individual provider in the NPPES registry on May 1, 2006.
Where is Richard Park located?
Richard Park practices at 175 Community Dr, Great Neck, NY 11021. The listed phone number is (516) 465-1900.
What is Richard Park's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Richard Park enrolled in Medicare?
Yes. Richard Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Richard Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Park reassigns Medicare benefits to Smg Medical Practice Group PC (Los Angeles, CA). The 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 Richard Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Richard Park was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Richard Park, MD · NPI 1114985298
Emergency Medicine physician in Great Neck, New York. Individual provider, active in the CMS NPPES registry since May 1, 2006.
## Identity
- **NPI:** 1114985298 (Entity type: Individual)
- **Enumerated:** May 1, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 224603 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 COMMUNITY DR, Great Neck, NY 11021-5502
- **Phone:** (516) 465-1900 · **Fax:** (516) 465-1830
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Smg Medical Practice Group PC (NPI 1710660659, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 05986 (NY); Medicare UPIN I02822; Medicare ID-Type Unspecified 0773Q1 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1114985298) · Data from the CMS NPPES public registry.