DR. DANIEL PARK D.O.
NPI 1124201801
Psychiatry & Neurology - Psychiatry in Las Vegas, NV

Q: What is Daniel Park's NPI number?

The NPI number for Daniel Park is 1124201801. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Q: What is Daniel Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Park was last updated on April 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 17, 2007PECOS EnrolledAccepts Medicare Assignment

4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103(702) 485-2100(702) 825-0091 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2021, Nov 17, 2016 (2 updates tracked since 2016).

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About Dr. Daniel Park D.o. NPPES

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

DR. DANIEL PARK D.O. (NPI 1124201801) is an individual psychiatry provider in Las Vegas, Nevada, licensed in Nevada (SL0537) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124201801

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. DANIEL PARKCredential: D.O.

Location Address4270 S DECATUR BLVD STE B6Las Vegas, NV 89103-6802

Mailing Address377 Trailing Putt WayLas Vegas, NV 89148-5003 · (951) 809-5908 · Fax (702) 947-5352

Phone(702) 485-2100

Fax(702) 825-0091

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateDecember 17, 2007

Last NPPES UpdateApril 9, 20212 updates tracked since enumeration

NPPES CertifiedApril 9, 2021

✔ NPI 1124201801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NV · SL0537

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4270 S DECATUR BLVD STE B6, Las Vegas, NV 89103

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Secondary Practice Location 1

Location 11707 W Charleston Blvd Ste 200Las Vegas, NV 89102-2353 · Phone (951) 809-5908 · Fax (702) 947-5352

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Park D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749451136

PECOS Enrollment IDI20110915000061

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

527 services81 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

104 services82 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

103 services80 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

89 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 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

$173.24 typical visit price

range $57.07 – $173.24

Typical copayment $43.31 (range $14.26 – $43.31)

Most-billed visit code 99205

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

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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.

MR. MICHAEL TODD MATHISEN APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)