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CHARLES KEYU PARK M.D.
NPI 1235214131
Psychiatry & Neurology - Psychiatry in Lone Tree, CO

Active since October 26, 2006PECOS Enrolled
10099 RIDGEGATE PKWY STE 420, LONE TREE, CO 80124(303) 800-6463(303) 500-6585 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles Keyu Park M.d. NPPES

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

CHARLES KEYU PARK M.D. (NPI 1235214131) is an individual psychiatry provider in Lone Tree, Colorado, licensed in Colorado (CDRH42664) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2001).

NPPES Registry Identity

NPI1235214131
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameCHARLES KEYU PARKCredential: M.D.
Location Address10099 RIDGEGATE PKWY STE 420Lone Tree, CO 80124-5536
Mailing Address10099 Ridgegate Pkwy Ste 420Lone Tree, CO 80124-5536 · (303) 800-6463 · Fax (303) 500-6585
Phone(303) 800-6463
Fax(303) 500-6585
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2001
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1235214131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CO · CDRH42664
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License CDRH42664 (CO)
10099 RIDGEGATE PKWY STE 420, Lone Tree, CO 80124
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Keyu Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769585413
PECOS Enrollment IDI20100609000647
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 Reassignment

Medicare enrollment records show Charles Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agami Health Services LLC
Same address
Psychiatry
10099 RIDGEGATE PKWY STE 420
Lone Tree, CO 80124
  • Reassigned Medicare billing, Colorado enrollment
NPI 1194183020 (303) 800-6463

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80124 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 4

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

AGAMI HEALTH SERVICES LLC
Psychiatry & Neurology (Psychiatry)
10099 RIDGEGATE PKWY STE 420
LONE TREE, CO 80124
Douglas County (303) 800-6463
THE MIND STORE, LLC
Psychiatry & Neurology (Psychiatry)
10099 RIDGEGATE PKWY STE 420
LONE TREE, CO 80124
Douglas County (303) 800-6463
TMS STORE
Psychiatry & Neurology (Psychiatry)
10099 RIDGEGATE PKWY STE 420
LONE TREE, CO 80124
Douglas County (303) 800-6463
HY GIA YOUNG PARK MPH, MS, MD
Psychiatry & Neurology (Psychiatry)
10099 RIDGEGATE PKWY STE 420
LONE TREE, CO 80124
Douglas County (720) 209-8537

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 Charles Park's NPI number?

The NPI number for Charles Park is 1235214131. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Charles Park located?

Charles Park practices at 10099 Ridgegate Pkwy Ste 420, Lone Tree, CO 80124. The listed phone number is (303) 800-6463.

What is Charles Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Charles Park enrolled in Medicare?

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

Which organization bills Medicare for Charles Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Park reassigns Medicare benefits to Agami Health Services LLC (Lone Tree, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Park was last updated on January 31, 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.