DR. JOHN PARK M.D.
NPI 1124155643
Radiology - Vascular & Interventional Radiology in Duarte, CA
About Dr. John Park M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN PARK M.D. (NPI 1124155643) is an individual vascular & interventional radiology provider in Duarte, California, licensed in California (A85814) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Duarte, CA 91010
- Reassigned Medicare billing, California enrollment
- 1,335 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 91010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
DUARTE, CA 91010
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 John Park's NPI number?
The NPI number for John Park is 1124155643. It was assigned to this individual provider in the NPPES registry on February 28, 2007.
Where is John Park located?
John Park practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 359-8111.
What is John Park's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is John Park enrolled in Medicare?
Yes. John Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Park reassigns Medicare benefits to City Of Hope Medical Foundation (Duarte, 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 John 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 John Park was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. John Park, M.D. · NPI 1124155643
Vascular & Interventional Radiology physician in Duarte, California. Individual provider, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1124155643 (Entity type: Individual)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** A85814 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 DUARTE RD, Duarte, CA 91010-3012
- **Phone:** (626) 359-8111
## 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:** City Of Hope Medical Foundation (NPI 1871886366, Duarte, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2020
- **Other identifiers:** Medicaid 00A858140 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1124155643) · Data from the CMS NPPES public registry.