CHARLIE CHULHYUN PARK MD
NPI 1326535956
Radiology - Diagnostic Radiology in Boston, MA
About Charlie Chulhyun Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE CHULHYUN PARK MD (NPI 1326535956) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1015043) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Harbor City, and is a graduate of University Of California, San Diego School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Charlie Chulhyun 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.
Medicare Billing Reassignments
2Medicare enrollment records show Charlie Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90036
- Reassigned Medicare billing, California enrollment
- 57 clinicians in this Medicare group
Santa Monica, CA 90403
- Reassigned Medicare billing, California enrollment
- 46 clinicians in this Medicare group
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 16
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Charlie Park's NPI number?
The NPI number for Charlie Park is 1326535956. It was assigned to this individual provider in the NPPES registry on April 19, 2018. The provider is also known as Chulhyun Park MD.
Where is Charlie Park located?
Charlie Park practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.
What is Charlie Park's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Charlie Park enrolled in Medicare?
Yes. Charlie 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 organizations bill Medicare for Charlie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Park reassigns Medicare benefits to 2 organizations: Tower Imaging Medical Associates, Inc. (Los Angeles, CA) and Tower Imaging Medical Group, Inc (Santa Monica, CA). Each 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 Charlie 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 Charlie Park was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Charlie Chulhyun Park, MD · NPI 1326535956
Diagnostic Radiology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 19, 2018.
## Identity
- **NPI:** 1326535956 (Entity type: Individual)
- **Enumerated:** April 19, 2018
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 1015043 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 726-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tower Imaging Medical Associates, Inc. (NPI 1023315074, Los Angeles, CA); Tower Imaging Medical Group, Inc (NPI 1013962067, Santa Monica, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** May 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1326535956) · Data from the CMS NPPES public registry.