1. Home
  2. Directory
  3. Washington
  4. Lakewood
  5. Internal Medicine
  6. NPI Profile

IN KWON PARK MD
NPI 1255588679
Internal Medicine in Lakewood, WA

Active since August 27, 2008PECOS EnrolledAccepts Medicare AssignmentCLIA 50D2170241 · Waiver
8730 S TACOMA WAY STE 104, LAKEWOOD, WA 98499(253) 212-3637(253) 267-0153 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2022, Aug 30, 2019, Nov 14, 2016 (3 updates tracked since 2016).

About In Kwon Park Md NPPES

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

IN KWON PARK MD (NPI 1255588679) is an individual internal medicine provider in Lakewood, Washington, licensed in Washington (MD60044488) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 4, 2028, and is affiliated with St Joseph Medical Center.

NPPES Registry Identity

NPI1255588679
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameIN KWON PARKCredential: MD
Location Address8730 S TACOMA WAY STE 104Lakewood, WA 98499-4521
Mailing Address8730 S Tacoma Way Ste 104Lakewood, WA 98499-4521 · (253) 212-3637 · Fax (253) 267-0153
Phone(253) 212-3637
Fax(253) 267-0153
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2005
Enumeration DateAugust 27, 2008
Last NPPES UpdateJuly 22, 20223 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1255588679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WA · MD60044488✔ Licensed in DC · 137595
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8730 S TACOMA WAY STE 104, Lakewood, WA 98499
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

In Kwon Park Md 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 ID9133280845
PECOS Enrollment IDI20190906001249
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2170241

In Kwon Park Internal Medicine Infectious Diseases · Lakewood, WA
Active · expires Apr 4, 2028
CLIA Number50D2170241
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorIn Kwon Park
Laboratory Phone(253) 212-3637
Laboratory LocationIn Kwon Park Internal Medicine Infectious Diseases8730 S Tacoma Ste 104, Lakewood, WA 98499
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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 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.
277 services101 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
142 services94 patients
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.
140 services75 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
38 services27 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$207.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

IN KWON PARK MD PLLC
Internal Medicine
8730 S TACOMA WAY STE 104
LAKEWOOD, WA 98499
Pierce County (253) 212-3637

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 In Kwon Park's NPI number?

The NPI number for In Kwon Park is 1255588679. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is In Kwon Park located?

In Kwon Park practices at 8730 S Tacoma Way Ste 104, Lakewood, WA 98499. The listed phone number is (253) 212-3637.

What is In Kwon Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is In Kwon Park enrolled in Medicare?

Yes. In Kwon 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.

Does In Kwon Park hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2170241) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does In Kwon Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list In Kwon Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is In Kwon Park affiliated with any hospitals?

According to CMS data, In Kwon Park is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for In Kwon Park was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.