1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Psychiatry Neurology
  6. NPI Profile

TAE WOO PARK MD
NPI 1174785786
Psychiatry & Neurology - Addiction Psychiatry in Pittsburgh, PA

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3501 FORBES AVE FL 9, PITTSBURGH, PA 15213(412) 246-6351 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2023, Aug 25, 2016 (2 updates tracked since 2016).

About Tae Woo Park Md NPPES

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

TAE WOO PARK MD (NPI 1174785786) is an individual addiction psychiatry provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD436597) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1174785786
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameTAE WOO PARKCredential: MD
Location Address3501 FORBES AVE FL 9Pittsburgh, PA 15213-3317
Mailing Address3501 Forbes Ave Fl 9Pittsburgh, PA 15213-3317 · (412) 246-6351
Phone(412) 246-6351
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 26, 2008
Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1174785786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
Licenses✔ Licensed in PA · MD436597✔ Licensed in MA · 247886
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD14645 (RI), 247886 (MA)
3501 FORBES AVE FL 9, Pittsburgh, PA 15213
Open in Google Maps ↗

Other Names 1

Other Name (5)Ted Park

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

Tae Woo 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 ID6800947490
PECOS Enrollment IDI20090622000171
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services19 patients

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES

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

MR. DENNIS LEE HAYNES JR. CRS
Counselor (Addiction (Substance Use Disorder))
3501 FORBES AVE FL 9
PITTSBURGH, PA 15213
Allegheny County (412) 699-3585

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 Tae Woo Park's NPI number?

The NPI number for Tae Woo Park is 1174785786. It was assigned to this individual provider in the NPPES registry on June 26, 2008. The provider is also known as Ted Park.

Where is Tae Woo Park located?

Tae Woo Park practices at 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213. The listed phone number is (412) 246-6351.

What is Tae Woo Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Tae Woo Park enrolled in Medicare?

Yes. Tae Woo 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.

When was this NPI record last updated?

The NPPES record for Tae Woo Park was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.