SANGTAE PARK MD
NPI 1356300487
Urology in Skokie, IL

Active since March 18, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
9711 SKOKIE BLVD, STE H, SKOKIE, IL 60077(847) 676-2400(847) 676-2485 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2026, Dec 1, 2025, Feb 16, 2021 (3 updates tracked since 2021).

About Sangtae Park Md NPPES

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

SANGTAE PARK MD (NPI 1356300487) is an individual urology provider in Skokie, Illinois, licensed in Illinois (036119572) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of California, San Francisco School Of Medicine (1999).

NPPES Registry Identity

NPI1356300487
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSANGTAE PARKCredential: MD
Location Address9711 SKOKIE BLVD, STE HSkokie, IL 60077-1384
Mailing Address9711 Skokie Blvd, Ste HSkokie, IL 60077-1384 · (847) 676-2400 · Fax (847) 676-2485
Fax(847) 676-2485
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1999
Enumeration DateMarch 18, 2006
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1356300487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in IL · 036119572 Licensed in TX · M0855
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

9711 SKOKIE BLVD, Skokie, IL 60077

Other Identifiers 1

Medicaid174078901TX

Accepted 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

Sangtae 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 ID6800831603
PECOS Enrollment IDI20071221000141
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.

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.

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.
337 services321 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.
280 services258 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
95 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 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.
74 services74 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
39 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60077 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims4,020 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers44 claims8,910 services$1.67 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers18 claims1,650 services$5.26 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 13

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

Chiropractor
9711 SKOKIE BLVD, STE. #F
SKOKIE, IL 60077
Internal Medicine (Hematology & Oncology)
9711 SKOKIE BLVD, SUITE A
SKOKIE, IL 60077
General Practice
9711 SKOKIE BLVD, SUITE A
SKOKIE, IL 60077
Dermatology
9711 SKOKIE BLVD, SUITE J
SKOKIE, IL 60077
Dermatology
9711 SKOKIE BLVD
SKOKIE, IL 60077
Social Worker (Clinical)
9711 SKOKIE BLVD, SUITE H
SKOKIE, IL 60077
Physician Assistant
9711 SKOKIE BLVD, SUITE J
SKOKIE, IL 60077
Physical Therapist
9711 SKOKIE BLVD, SUITE F
SKOKIE, IL 60077

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 Sangtae Park's NPI number?

The NPI number for Sangtae Park is 1356300487. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Sangtae Park located?

Sangtae Park practices at 9711 Skokie Blvd Ste H, Skokie, IL 60077. The listed phone number is (847) 676-2400.

What is Sangtae Park's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sangtae Park enrolled in Medicare?

Yes. Sangtae 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.

What insurance does Sangtae Park accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sangtae 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 Sangtae Park affiliated with any hospitals?

According to CMS data, Sangtae Park is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital, Advocate Lutheran General Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Sangtae Park was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.