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NOAH YOUNGCHAN PARK CAA
NPI 1134051451
Anesthesiologist Assistant in Aurora, CO

Active since June 01, 2026Accepts Medicare Assignment
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Jun 3, 2026 (2 updates tracked since 2026).

About Noah Youngchan Park Caa NPPES

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

NOAH YOUNGCHAN PARK CAA (NPI 1134051451) is an individual anesthesiologist assistant in Aurora, Colorado, licensed in Colorado (ANT.0000340) and active in the NPI registry since June 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1134051451
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameNOAH YOUNGCHAN PARKCredential: CAA
Location Address12605 E 16TH AVEAurora, CO 80045-2520
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 848-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 1, 2026
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1134051451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in CO · ANT.0000340
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
12605 E 16TH AVE, Aurora, CO 80045
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Noah Youngchan Park Caa 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 ID7517423502
PECOS Enrollment IDI20260730000449

Medicare Billing Reassignment

Medicare enrollment records show Noah Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physicians Incorporated
Same address
Internal Medicine
12605 E 16TH AVE, UNIVERSITY OF COLORADO HOSPITAL
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
NPI 1962461889 (303) 493-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KEVIN BRADLEY ROTHCHILD MD
Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (303) 724-2728
DR. JONATHAN ORSBORN MD
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
ERIN SLOUN FIELDS PHARMD
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-4083
DR. JUAN PABLO IDROVO M.D.
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (303) 724-8366
STACEY M JOHNSON APRN
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
ANDREA LYNNE HALL CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
KRISTI WHARTON SWIM FNP
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
LAURA TIERNEY YOST CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000

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 Noah Park's NPI number?

The NPI number for Noah Park is 1134051451. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Noah Park located?

Noah Park practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Noah Park's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Noah Park enrolled in Medicare?

Yes. Noah 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.

Which organization bills Medicare for Noah Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noah Park reassigns Medicare benefits to University Physicians Incorporated (Aurora, CO). 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 Noah 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 Noah Park was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.