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JULIE RUGGIERI PARK MD
NPI 1356422612
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN

Active since October 17, 2006PECOS Enrolled
260 DANNY THOMAS PLACE, MEMPHIS, TN 38105(901) 595-4329 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Julie Ruggieri Park Md NPPES

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

JULIE RUGGIERI PARK MD (NPI 1356422612) is an individual pediatric hematology-oncology provider in Memphis, Tennessee, licensed in Washington (MD00028451) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356422612
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameJULIE RUGGIERI PARKCredential: MD
Location Address260 DANNY THOMAS PLACEMemphis, TN 38105
Mailing Address260 Danny Thomas PlaceMemphis, TN 38105
Phone(901) 595-4329
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1356422612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in WA · MD00028451
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
260 DANNY THOMAS PLACE, Memphis, TN 38105
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Other Identifiers 1

Medicaid8154031WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Ruggieri Park Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Julie Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Jude Children's Research Hospital, Inc.
0.1 mi
Pediatrics
262 DANNY THOMAS PL
Memphis, TN 38105
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: St Jude Childrens Research Hospital Inc
  • 367 clinicians in this Medicare group
NPI 1306335088 (901) 595-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Julie Park's NPI number?

The NPI number for Julie Park is 1356422612. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Julie Park located?

Julie Park practices at 260 Danny Thomas Place, Memphis, TN 38105. The listed phone number is (901) 595-4329.

What is Julie Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Julie Park enrolled in Medicare?

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

Which organization bills Medicare for Julie Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Park reassigns Medicare benefits to St Jude Children's Research Hospital, Inc. (Memphis, TN). 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 Julie 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 Julie Park was last updated on July 18, 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.