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ELOISE HYUNJI PARK
NPI 1235098963
Physician Assistant in Carrollton, TX

Active since January 19, 2026PECOS Enrolled
3950 LUKE LN, CARROLLTON, TX 75007(469) 265-9620 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eloise Hyunji Park NPPES

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

ELOISE HYUNJI PARK (NPI 1235098963) is an individual physician assistant in Carrollton, Texas and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235098963
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELOISE HYUNJI PARK
Location Address3950 LUKE LNCarrollton, TX 75007-1325
Mailing Address3950 Luke LnCarrollton, TX 75007-1325 · (469) 265-9620
Phone(469) 265-9620
Sole ProprietorNo
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1235098963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3950 LUKE LN, Carrollton, TX 75007
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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 (PECOS)

Eloise Hyunji Park 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 75007 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Eloise Park's NPI number?

The NPI number for Eloise Park is 1235098963. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Eloise Park located?

Eloise Park practices at 3950 Luke Ln, Carrollton, TX 75007. The listed phone number is (469) 265-9620.

What is Eloise Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Eloise Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Eloise Park was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.