JAIMIE J PARK MD
NPI 1174103071
Otolaryngology in Merrillville, IN
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, maintains a secondary practice location in Hobart, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaimie J Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jaimie Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 8 clinicians in this Medicare group
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Jaimie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaimie Park reassigns Medicare benefits to 2 organizations: Carepointe, P.C. (Merrillville, IN) and Community Care Network Inc (St John, IN). Each 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 Jaimie Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaimie Park accept?
Health plans from Anthem Blue Cross and Blue Shield list Jaimie Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 57 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.
# Jaimie J Park, MD · NPI 1174103071
Otolaryngology physician in Merrillville, Indiana. Individual provider, active in the CMS NPPES registry since April 13, 2021.
## Identity
- **NPI:** 1174103071 (Entity type: Individual)
- **Enumerated:** April 13, 2021
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 01100724A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 E 86TH AVE STE A, Merrillville, IN 46410-6267
- **Phone:** (219) 738-2617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carepointe, P.C. (NPI 1023031911, Merrillville, IN); Community Care Network Inc (NPI 1457610487, St John, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174103071) · Data from the CMS NPPES public registry.