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DR. KOJI PARK M.D.
NPI 1124343694
Surgery in New York, NY

Active since March 28, 2010PECOS EnrolledAccepts Medicare Assignment
1111 AMSTERDAM AVE, 4W, NEW YORK, NY 10025(212) 636-1000(212) 523-2351 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Koji Park M.d. NPPES

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

DR. KOJI PARK M.D. (NPI 1124343694) is an individual surgery provider in New York, New York, licensed in New York (276066) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of State University Of New York Downstate Medical Center (2007).

NPPES Registry Identity

NPI1124343694
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KOJI PARKCredential: M.D.
Location Address1111 AMSTERDAM AVE, 4WNew York, NY 10025-1716
Mailing Address1111 Amsterdam Ave, 4wNew York, NY 10025-1716 · (212) 636-1000 · Fax (212) 523-2351
Phone(212) 636-1000
Fax(212) 523-2351
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2007
Enumeration DateMarch 28, 2010
Last NPPES UpdateJune 2, 2015
✔ NPI 1124343694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 276066
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1111 AMSTERDAM AVE, New York, NY 10025
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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 and accepts Medicare assignment

Dr. Koji Park M.d. 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 ID648412213
PECOS Enrollment IDI20141027001977
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.

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.
24 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

DR. TAKEHIRO KASAHARA D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3171
DR. MELVIN KU M.D.
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3981
RAVI KATARI
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
YAMINI POTINI MD
Hospitalist
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
HANNAH KITTRELL RD, CDN
Dietitian, Registered
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3618
DR. STANLEY CORTELL M.D.
Internal Medicine (Nephrology)
1111 AMSTERDAM AVE, MINTURN ROOM 205
NEW YORK, NY 10025
New York County (212) 523-3530
MR. EZEQUIEL JOSUE RODRIGUEZ RPA-C
Physician Assistant
1111 AMSTERDAM AVE, ORTHO DEPT. CLARK 7
NEW YORK, NY 10025
New York County (212) 523-2650
MR. MICHAEL STEPHEN BALLETTA
Nurse Practitioner (Adult Health)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-5918

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 Koji Park's NPI number?

The NPI number for Koji Park is 1124343694. It was assigned to this individual provider in the NPPES registry on March 28, 2010.

Where is Koji Park located?

Koji Park practices at 1111 Amsterdam Ave 4W, New York, NY 10025. The listed phone number is (212) 636-1000.

What is Koji Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Koji Park enrolled in Medicare?

Yes. Koji Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Koji Park affiliated with any hospitals?

According to CMS data, Koji Park is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Koji Park was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.