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

NPI Status: Active since March 02, 2022

Contact Information

BROOKE ARMY MEDICAL CENTER
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 292-7805
Fax: (210) 292-7868

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  • Individual
  • Male
  • Internal Medicine
  • PECOS Enrolled

About JI-MIN PARK

This page provides the complete NPI Profile along with additional information for Ji-min Park, an internist established in Jbsa Ft Sam Houston, Texas with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1366199184 assigned on March 2022. The practitioner's primary taxonomy code is 207R00000X with license number 0101280245 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1366199184
Provider Name
DR. JI-MIN PARK MD
Gender
Male
Entity Type
Individual
Location Address
BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DR JBSA FT SAM HOUSTON, TX 78234
Location Phone
(210) 292-7805
Location Fax
(210) 292-7868
Mailing Address
3551 ROGER BROOKE DR JBSA FT SAM HOUSTON, TX 78234
Mailing Phone
(210) 292-7805
Mailing Fax
(210) 292-7868
Is Sole Proprietor?
Yes
Enumeration Date
03-02-2022
Last Update Date
06-02-2025
Code Navigator

An internist like Ji-min Park is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • Wilford Hall Ambulatory Surgical Center 1100 Wilford Hall Loop
    JBSA Lackland, TX 78236
    (210) 292-4277

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101280245
License State
VA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Ji-min Park is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 78234 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.4
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $31.6
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366199184, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 2 + 9 + 1 + 8 + 1 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1366199184.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
BROOKE ARMY MEDICAL CENTER, 3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
BROOKE ARMY MEDICAL CENTER, 3851 ROGER BROOKE DR, MCHE-QD/CREDENTIALS
FORT SAM HOUSTON, TX 78234
Emergency Medicine
BROOKE ARMY MEDICAL CENTER, MCHE-QD/CREDENTIALS 3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Physical Therapist (Sports)
BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON, TX 78234
Dermatology
BROOKE ARMY MEDICAL CENTER, MCHE-QD (CREDS)
SAN ANTONIO, TX 78234
Psychiatry & Neurology (Neurology)
BROOKE ARMY MEDICAL CENTER, 3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Clinical Neuropsychologist
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR.
JBSA FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR.
FORT SAM HOUSTON, TX 78234
Psychologist
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Internal Medicine (Cardiovascular Disease)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
JBSA FSH, TX 78234
Internal Medicine
BROOKE ARMY MEDICAL CENTER, 3851 ROGER BROOKE DRIVE
SAN ANTONIO, TX 78234
Social Worker (Clinical)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR.
FORT SAM HOUSTON, TX 78234
Psychologist (Clinical)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR.
FT. SAM HOUSTON, TX 78234
Internal Medicine
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
JBSA SAN ANTONIO, TX 78234
Anesthesiology
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
JBSA FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR, JBSA-FT. SAM HOUSTON
SAN ANTONIO, TX 78234
Nurse Anesthetist, Certified Registered
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Psychologist (Clinical)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
JBSA FORT SAM HOUSTON, TX 78234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366199184, enumerated as an "individual" on March 02, 2022.

The provider is located at BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DR JBSA FT SAM HOUSTON, TX 78234 and the phone number is (210) 292-7805.

Internal Medicine with taxonomy code 207R00000X.