DR. JI-MIN PARK MD
NPI 1366199184
Internal Medicine in Jbsa Ft Sam Houston, TX

Q: What is Ji-min Park's NPI number?

The NPI number for Ji-min Park is 1366199184. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Q: What is Ji-min Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ji-min Park was last updated on June 2, 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.

Active since March 02, 2022PECOS Enrolled

BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 292-7805(210) 292-7868 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2025, Oct 20, 2023, Aug 16, 2023 and 1 more (4 updates tracked since 2022).

On this page

About Dr. Ji-min Park Md NPPES

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

DR. JI-MIN PARK MD (NPI 1366199184) is an individual internal medicine provider in Jbsa Ft Sam Houston, Texas, licensed in Virginia (0101280245) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jbsa Lackland.

NPPES Registry Identity

NPI1366199184

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JI-MIN PARKCredential: MD

Location AddressBROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504

Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · (210) 292-7805 · Fax (210) 292-7868

Phone(210) 292-7805

Fax(210) 292-7868

Sole ProprietorYes

Enumeration DateMarch 2, 2022

Last NPPES UpdateJune 2, 20254 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1366199184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101280245

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

BROOKE ARMY MEDICAL CENTER, Jbsa Ft Sam Houston, TX 78234

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Secondary Practice Location 1

Location 1Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall LoopJBSA Lackland, TX 78236 · Phone (210) 292-4277

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ji-min 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

TIMOTHY BURNETT PSYD

Psychologist (Clinical)

BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234

Bexar County (801) 739-3873

ERIN AMANDA CHICOINE M.D.

Internal Medicine

BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-5000

MR. YOUNG JOHNATHON LEE YAUGER CRNA, RN

Nurse Anesthetist, Certified Registered

BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234

Bexar County (240) 418-2502

DR. CAROLINE B WILLIAMS PH.D., M.P.

Psychologist (Prescribing (Medical))

BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (706) 304-3010

DR. ALAN WOOD HALLIDAY M.D.

Psychiatry & Neurology (Neurology)

BROOKE ARMY MEDICAL CENTER, 3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-2203

DR. BRADLEY A RITTENHOUSE MD

Surgery (Surgical Critical Care)

BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

DONNA GRAF LCSW

Social Worker (Clinical)

BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-4141

LOUISE SODOS M.S.

Student in an Organized Health Care Education/Training Program

BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR.
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-7641

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 Ji-min Park's NPI number?

The NPI number for Ji-min Park is 1366199184. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Where is Ji-min Park located?

Ji-min Park practices at Brooke Army Medical Center 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 292-7805.

What is Ji-min Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ji-min Park enrolled in Medicare?

Yes. Ji-min Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ji-min Park was last updated on June 2, 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.