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DR. KUN TAE PARK MD, MS
NPI 1174785968
Pediatrics - Pediatric Gastroenterology in Palo Alto, CA

Active since July 02, 2008PECOS Enrolled
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kun Tae Park Md, Ms NPPES

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

DR. KUN TAE PARK MD, MS (NPI 1174785968) is an individual pediatric gastroenterology provider in Palo Alto, California, licensed in California (A104493) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1174785968
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. KUN TAE PARKCredential: MD, MS
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Phone(650) 497-8000
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1174785968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in CA · A104493
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
725 WELCH RD, Palo Alto, CA 94304
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Secondary Practice Location 1

Location 1300 Pasteur Dr, SUMC Peds Physician Billing MC 5530Palo Alto, CA 94304-2200 · Phone (650) 498-7391 · Fax (650) 725-7888

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kun Tae Park Md, Ms 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 94304 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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.

EIRI INENAGA MS, OTR/L
Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8218
WENDY LEIGH ADAMS ARNP
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KEVIN WEI-HAN CHI MD
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
ASHEEN RAMA MD
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
CRYSTAL LEE MACKALL MD
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KRISTI LYNNE O'CONNOR OT
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
LAUREN GENNA ROOS NP
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
SHALINI MITTAL MD
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000

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 Kun Park's NPI number?

The NPI number for Kun Park is 1174785968. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Kun Park located?

Kun Park practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Kun Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Kun Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kun Park was last updated on October 8, 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.