DR. HYO KYUNG PARK M.D.
NPI 1184910960
Obstetrics & Gynecology - Gynecologic Oncology in Santa Monica, CA

Q: What is Hyo Kyung Park's NPI number?

The NPI number for Hyo Kyung Park is 1184910960. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Q: What is Hyo Kyung Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Q: When was this NPI record last updated?

The NPPES record for Hyo Kyung Park was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment

2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 829-8031(310) 829-8914 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2020, Aug 21, 2019, Jul 2, 2019 (3 updates tracked since 2019).

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About Dr. Hyo Kyung Park M.d. NPPES

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

DR. HYO KYUNG PARK M.D. (NPI 1184910960) is an individual gynecologic oncology provider in Santa Monica, California, licensed in California (A160736) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1184910960

Entity TypeIndividualFemale

Primary Taxonomy207VX0201X

Provider Legal NameDR. HYO KYUNG PARKCredential: M.D.

Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303

Mailing Address1300 N Vermont AveLos Angeles, CA 90027-6098 · (323) 473-5499 · Fax (323) 473-5499

Phone(310) 829-8031

Fax(310) 829-8914

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 21, 2011

Last NPPES UpdateJanuary 23, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2024

✔ NPI 1184910960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in CA · A160736

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 125059823 (IL)

2121 SANTA MONICA BLVD, Santa Monica, CA 90404

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Secondary Practice Locations 2

Location 1600 N McClurg Ct, Apt 2910Chicago, IL 60611-3044 · Phone (607) 351-6181

Location 21300 N Vermont Ave Ste 1001Los Angeles, CA 90027 · Phone (323) 473-5499 · Fax (323) 984-9111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hyo Kyung 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 ID6002117439

PECOS Enrollment IDI20220426001564

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.

Medicare Billing Reassignments

Medicare enrollment records show Hyo Kyung Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Saint Johns Medical Foundation

Same address

Specialist

2121 SANTA MONICA BLVD
Santa Monica, CA 90404

Reassigned Medicare billing, California enrollment
461 clinicians in this Medicare group

NPI 1770093734 (310) 582-7312

Los Angeles Lgbt Center

9.7 mi

Federally Qualified Health Center (FQHC)

1625 SCHRADER BLVD
Los Angeles, CA 90028

Reassigned Medicare billing, California enrollment
110 clinicians in this Medicare group

NPI 1548298532 (323) 993-7500

First Choice Physician Partners

30 mi

Gynecology

5152 KATELLA AVE, #106
Los Alamitos, CA 90720

Reassigned Medicare billing, California enrollment
488 clinicians in this Medicare group

NPI 1427479203 (562) 431-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services51 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

33 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

MINA RIM KANG MD

Hospitalist