Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JIN S PARK MD
NPI 1164400768
Internal Medicine - Interventional Cardiology in Kansas City, MO

Q: What is Jin Park's NPI number?

The NPI number for Jin Park is 1164400768. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Jin Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Jin Park was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment

77.31/100

CMS Quality Rating

1000 CARONDELET DR STE 201B, KANSAS CITY, MO 64114(913) 956-2250(913) 956-2251 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Nov 18, 2025, Feb 16, 2022 and 5 more (8 updates tracked since 2019).

On this page

About Jin S Park Md NPPES

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

JIN S PARK MD (NPI 1164400768) is an individual interventional cardiology provider in Kansas City, Missouri, licensed in Missouri (2008015782) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Bates County Memorial Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1164400768

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameJIN S PARKCredential: MD

Location Address1000 CARONDELET DR STE 201BKansas City, MO 64114

Mailing Address1000 Carondelet Dr Ste 201bKansas City, MO 64114-4673 · (913) 956-2250 · Fax (913) 956-2251

Phone(913) 956-2250

Fax(913) 956-2251

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1992

Enumeration DateJanuary 4, 2006

Last NPPES UpdateSeptember 17, 20268 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1164400768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in MO · 2008015782✔ Licensed in KS · 0433150

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2008015782 (MO)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2008015782 (MO), 194765 (NY), 0433150 (KS)

1000 CARONDELET DR STE 201B, Kansas City, MO 64114

Open in Google Maps ↗

Secondary Practice Locations 6

Location 1201 NW RD Mize RdBlue Springs, MO 64014 · Phone (816) 228-5900

Location 28929 Parallel PkwyKansas City, KS 66112-1689 · Phone (913) 596-7224

Location 38919 Parallel Pkwy Ste 580Kansas City, KS 66112-1655 · Phone (913) 596-7224

Location 4615 W Nursery StButler, MO 64730-1840 · Phone (660) 200-7000

Location 57201 E 147th St Ste 120Grandview, MO 64030-4204 · Phone (913) 956-2250 · Fax (913) 956-2251

Location 65721 W 119th StOverland Park, KS 66209-3722 · Phone (913) 498-6000

Other Identifiers 3

Medicaid1164400768MO

OtherP00632841MO · Medicare Railroad

Medicaid01990005NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Jin S Park Md 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 ID9133292089

PECOS Enrollment IDI20080725000057, I20151007002502

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.

Medicare Billing Reassignments

Medicare enrollment records show Jin Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Healthcare Kansas City - Physician Services LLC

0.1 mi

Family Medicine

930 CARONDELET DR STE 201
Kansas City, MO 64114

Reassigned Medicare billing, Kansas and Missouri enrollments
17 clinicians in this Medicare group

NPI 1427449487 (816) 389-6100

Encompass Medical Group, PA

6.7 mi

General Practice

8550 MARSHALL DR, SUITE 200
Overland Park, KS 66214

Reassigned Medicare billing, Kansas and Missouri enrollments
39 clinicians in this Medicare group

NPI 1063457299 (913) 495-2000

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

Areas of Expertise CMS Part B claims 15

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

786 services501 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.

776 services428 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

300 services281 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.

232 services90 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

156 services156 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

152 services152 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.

96 services87 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

94 services94 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

38 services38 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

37 services35 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

31 services29 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

18 services17 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

15 services13 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Bates County Memorial Hospital

Acute Care Hospitals · Butler, MO

OwnershipGovernment - Local

CMS Certification Number260034

Location615 W Nursery StButler, MO 64730 · Bates County

Emergency services

St Joseph Medical Center

Acute Care Hospitals · Kansas City, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260085

Location1000 Carondelet DrKansas City, MO 64114 · Jackson County

Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · Blue Springs, MO

4/5 CMS rating

OwnershipProprietary

CMS Certification Number260193

Location201 NW R D Mize RdBlue Springs, MO 64014 · Jackson County

Emergency services

Cass Regional Medical Center

Critical Access Hospitals · Harrisonville, MO

OwnershipGovernment - Local

CMS Certification Number261324

Location2800 E Rock Haven RoadHarrisonville, MO 64701 · Cass County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64114 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.51

Promoting Interoperability

Improvement Activities

Cost

53.7

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILLY MAY HAVENER NP

Nurse Practitioner