HEYSOOK PARK WANTA
NPI 1164964680
Internal Medicine - Gastroenterology in New York, NY

Active since November 15, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1315 YORK AVE, NEW YORK, NY 10021(212) 746-5077 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 14, 2021, Nov 15, 2016 (2 updates tracked since 2016).

About Heysook Park Wanta NPPES

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

HEYSOOK PARK WANTA (NPI 1164964680) is an individual gastroenterology provider in New York, New York, licensed in New York (F339118) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164964680
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameHEYSOOK PARK WANTA
Location Address1315 YORK AVENew York, NY 10021-5304
Mailing Address568 Ashford AveArdsley, NY 10502-1602 · (917) 843-5667
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 15, 2016
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1164964680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · F339118
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1315 YORK AVE, New York, NY 10021

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

Heysook Park Wanta 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 ID8921372681
PECOS Enrollment IDI20170919000985
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.
40 services32 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.
35 services32 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.
33 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Colon & Rectal Surgery
1315 YORK AVE, 2ND FLOOR
NEW YORK, NY 10021
Registered Nurse (Infusion Therapy)
1315 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Family)
1315 YORK AVE, FLOOR 1
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1315 YORK AVE
NEW YORK, NY 10021
Colon & Rectal Surgery
1315 YORK AVE, 2ND FLOOR
NEW YORK, NY 10021
Internal Medicine
1315 YORK AVE
NEW YORK, NY 10021
Physician Assistant (Medical)
1315 YORK AVE, MEZZANINE
NEW YORK, NY 10021
Colon & Rectal Surgery
1315 YORK AVE, 2ND FLOOR
NEW YORK, NY 10021

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 Heysook Wanta's NPI number?

The NPI number for Heysook Wanta is 1164964680. It was assigned to this individual provider in the NPPES registry on November 15, 2016.

Where is Heysook Wanta located?

Heysook Wanta practices at 1315 York Ave, New York, NY 10021. The listed phone number is (212) 746-5077.

What is Heysook Wanta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Heysook Wanta enrolled in Medicare?

Yes. Heysook Wanta 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 Heysook Wanta affiliated with any hospitals?

According to CMS data, Heysook Wanta is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Heysook Wanta was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.