DR. KENNETH HYUNSOO PARK M.D., M.SC.
NPI 1245522739
Internal Medicine - Gastroenterology in West Hollywood, CA

Q: What is Kenneth Park's NPI number?

The NPI number for Kenneth Park is 1245522739. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Q: What is Kenneth Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Park was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 03, 2011PECOS EnrolledAccepts Medicare Assignment

87.67/100

CMS Quality Rating

8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 423-6082 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2020, Sep 5, 2019, Jun 19, 2017 (3 updates tracked since 2017).

On this page

About Dr. Kenneth Hyunsoo Park M.d., M.sc. NPPES

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

DR. KENNETH HYUNSOO PARK M.D., M.SC. (NPI 1245522739) is an individual gastroenterology provider in West Hollywood, California, licensed in California (A149954) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2011).

NPPES Registry Identity

NPI1245522739

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. KENNETH HYUNSOO PARKCredential: M.D., M.SC.

Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804

Mailing Address8700 Beverly BlvdWest Hollywood, CA 90048-1804 · (310) 423-6082

Phone(310) 423-6082

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 2011

Enumeration DateMay 3, 2011

Last NPPES UpdateApril 17, 20203 updates tracked since enumeration

NPPES CertifiedApril 17, 2020

✔ NPI 1245522739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A149954

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

8700 BEVERLY BLVD, West Hollywood, CA 90048

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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 and accepts Medicare assignment

Dr. Kenneth Hyunsoo Park M.d., M.sc. 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 ID840563714

PECOS Enrollment IDI20170829002826

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 Kenneth Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedars-Sinai Medical Center

Same address

General Acute Care Hospital

8700 BEVERLY BLVD
Los Angeles, CA 90048

Reassigned Medicare billing, California enrollment
1,001 clinicians in this Medicare group

NPI 1639172372 (323) 866-8600

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 21

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.

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

96 services77 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

84 services73 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

73 services57 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

64 services55 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

55 services34 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

54 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services43 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

36 services35 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

33 services32 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

26 services25 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

25 services25 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

23 services23 patients

Biopsy of gallbladder, pancreatic, liver, and bile ducts using a flexible endoscope 43261

This procedure involves using a flexible tube, called an endoscope, to examine and take small tissue samples from your gallbladder, pancreas, liver, and bile ducts. These samples can help diagnose various conditions.

20 services16 patients

Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope 43277

Balloon dilation is a procedure where a tiny balloon is inserted via an endoscope into your pancreatic or bile duct. The balloon is then inflated to widen the duct, improving flow and relieving blockages. It's a non-surgical, minimally invasive procedure.

19 services13 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

18 services18 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

14 services14 patients

Removal of tissue lining of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43254

This procedure involves the use of a flexible tube with a light and camera, called an endoscope, to remove tissue from your esophagus, stomach, or upper small bowel. It's typically done to diagnose or treat certain conditions, and is a safe, minimally invasive option.

14 services13 patients

Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43247

This procedure involves using a flexible instrument, called an endoscope, to remove foreign objects lodged in the esophagus, stomach, or upper small bowel. The endoscope is gently inserted through the mouth to reach the affected area and safely extract the foreign body.

13 services11 patients

Review by radiologist of image to guide opening of digestive tract 74360

This procedure involves a radiologist examining an image of your digestive tract. The image helps the radiologist determine the best way to open your digestive tract, if necessary. This is done to diagnose or treat certain conditions. It's a common, safe procedure.

13 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.86

Promoting Interoperability

Improvement Activities

Cost

49.42

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. BERNICE LOUISE COLEMAN PH.D, ACNP-BC

Nurse Practitioner (Acute Care)

8700 BEVERLY BLVD, NORTH TOWER ROOM 6215
WEST HOLLYWOOD, CA 90048

Los Angeles County (310) 423-6178

DR. INGRID LEAH DOMBROWER M.D.

Psychiatry & Neurology (Psychiatry)

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048

Los Angeles County (310) 423-2871

ELAINE WITTERT MSW

Social Worker (Clinical)

8700 BEVERLY BLVD, SUITE AC1002
WEST HOLLYWOOD, CA 90048

Los Angeles County (310) 423-3119

DR. KENAN MOHAMMED NADAR D.O.

Pediatrics

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048

Los Angeles County (310) 423-4451

HAE YOON GRACE CHOUNG MD

Pathology (Anatomic Pathology & Clinical Pathology)

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048

Los Angeles County (310) 423-6623

CASEY DISTASO MD

Emergency Medicine

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048

Los Angeles County (310) 423-8780

CHIARA CASAS NP

Nurse Practitioner (Pediatrics)

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048

Los Angeles County (310) 423-3277

AUSTIN WU MD

Anesthesiology

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048

Los Angeles County (310) 423-5841

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 Kenneth Park's NPI number?

The NPI number for Kenneth Park is 1245522739. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Kenneth Park located?

Kenneth Park practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-6082.

What is Kenneth Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Park enrolled in Medicare?

Yes. Kenneth 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.

Which organization bills Medicare for Kenneth Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Park reassigns Medicare benefits to Cedars-Sinai Medical Center (Los Angeles, CA). 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 Kenneth 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 Kenneth Park was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.