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

JAIMIE J PARK MD
NPI 1174103071
Otolaryngology in Merrillville, IN

Active since April 13, 2021PECOS Enrolled
99 E 86TH AVE STE A, MERRILLVILLE, IN 46410(219) 738-2617 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Apr 13, 2021 (2 updates tracked since 2021).

About Jaimie J Park Md NPPES

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

JAIMIE J PARK MD (NPI 1174103071) is an individual otolaryngology provider in Merrillville, Indiana, licensed in Indiana (01100724A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hobart.

NPPES Registry Identity

NPI1174103071
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameJAIMIE J PARKCredential: MD
Location Address99 E 86TH AVE STE AMerrillville, IN 46410-6267
Mailing Address99 E 86th Ave Ste AMerrillville, IN 46410-6267 · (219) 738-2617
Phone(219) 738-2617
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1174103071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01100724A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
99 E 86TH AVE STE A, Merrillville, IN 46410
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Secondary Practice Location 1

Location 11500 S Lake Park Ave, SP401Hobart, IN 46342-6638 · Phone (219) 945-4409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaimie J Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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 Jaimie Park's NPI number?

The NPI number for Jaimie Park is 1174103071. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Jaimie Park located?

Jaimie Park practices at 99 E 86th Ave Ste A, Merrillville, IN 46410. The listed phone number is (219) 738-2617.

What is Jaimie Park's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jaimie Park enrolled in Medicare?

Yes. Jaimie Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaimie Park was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.