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KYEEUN PARK
NPI 1336766542
Internal Medicine - Interventional Cardiology in Birmingham, AL

Active since July 03, 2020PECOS Enrolled
619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4793 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 10, 2020, Jul 3, 2020 (2 updates tracked since 2020).

About Kyeeun Park NPPES

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

KYEEUN PARK (NPI 1336766542) is an individual interventional cardiology provider in Birmingham, Alabama, licensed in Alabama (53881) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336766542
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameKYEEUN PARK
Location Address619 19TH ST SBirmingham, AL 35249-1900
Mailing Address619 19th St SBirmingham, AL 35249-1900
Phone(205) 934-4793
Sole ProprietorNo
Enumeration DateJuly 3, 2020
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1336766542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in AL · 53881
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
619 19TH ST S, Birmingham, AL 35249
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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)

Kyeeun 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 35249 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

GARRETT WALKER COLBY MD
Radiology (Diagnostic Radiology)
619 19TH ST S, JT N342
BIRMINGHAM, AL 35249
Jefferson County (205) 934-3108
SHANA MONIKA MACHADO D.O.
Internal Medicine (Nephrology)
619 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4011
RIAZ MOHAMMED KARUKAPPADATH
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4011
SABRINA GODDARD
Surgery (Surgical Critical Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4011
MR. RYNE SCOTT DUREN CRNP
Nurse Practitioner (Acute Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 996-0586
DR. JOSHUA JAMES TESSIN PHARMD
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-5350
LEONA COUNCIL MD
Pathology (Anatomic Pathology & Clinical Pathology)
619 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-5038
TIMOTHY TODD FLEENOR M.D.
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-5004

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 Kyeeun Park's NPI number?

The NPI number for Kyeeun Park is 1336766542. It was assigned to this individual provider in the NPPES registry on July 3, 2020.

Where is Kyeeun Park located?

Kyeeun Park practices at 619 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-4793.

What is Kyeeun Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Kyeeun Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyeeun Park was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.