ELLI ANN PARK
NPI 1346827672
Ophthalmology in Boston, MA
About Elli Ann Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLI ANN PARK (NPI 1346827672) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (1023075) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Boston University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Elli Ann Park 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 Reassignment
Medicare enrollment records show Elli Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1154317865 (Massachusetts)
- 32 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boston Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02118 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elli Park's NPI number?
The NPI number for Elli Park is 1346827672. It was assigned to this individual provider in the NPPES registry on March 24, 2021.
Where is Elli Park located?
Elli Park practices at 850 Harrison Ave # Acc-3, Boston, MA 02118. The listed phone number is (617) 414-4020.
What is Elli Park's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Elli Park enrolled in Medicare?
Yes. Elli 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 Elli Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elli Park reassigns Medicare benefits to Boston University Eye Associates, Inc. (Boston, MA). 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 Elli Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elli Park accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Taro Health list Elli 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 Elli Park affiliated with any hospitals?
According to CMS data, Elli Park is affiliated with Boston Medical Center.
When was this NPI record last updated?
The NPPES record for Elli Park was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Elli Ann Park · NPI 1346827672
Ophthalmology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 24, 2021.
## Identity
- **NPI:** 1346827672 (Entity type: Individual)
- **Enumerated:** March 24, 2021
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 1023075 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 850 HARRISON AVE # ACC-3, Boston, MA 02118-4001
- **Phone:** (617) 414-4020
## 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:** Boston University Eye Associates, Inc. (NPI 1285691337, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** August 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346827672) · Data from the CMS NPPES public registry.