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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.

CATHERINE PARK M.D.
NPI 1174968838
Pediatrics - Pediatric Nephrology in Washington, DC

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-3409 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Jun 5, 2017, Mar 21, 2017 (3 updates tracked since 2017).

About Catherine Park M.d. NPPES

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

CATHERINE PARK M.D. (NPI 1174968838) is an individual pediatric nephrology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD048441) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2013).

NPPES Registry Identity

NPI1174968838
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameCATHERINE PARKCredential: M.D.
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address611 N Pegram StAlexandria, VA 22304-2727
Phone(202) 476-3409
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1174968838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in DC · MD048441
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
111 MICHIGAN AVE NW, Washington, DC 20010
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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

Catherine Park M.d. 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 ID3971741695
PECOS Enrollment IDI20200903003512
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.

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.

DR. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

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 Catherine Park's NPI number?

The NPI number for Catherine Park is 1174968838. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Catherine Park located?

Catherine Park practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-3409.

What is Catherine Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Catherine Park enrolled in Medicare?

Yes. Catherine 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 Catherine Park was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.