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WOOSUK PARK MD
NPI 1366453656
Internal Medicine - Gastroenterology in Kenosha, WI

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
10400 75TH ST, KENOSHA, WI 53142(629) 487-0002 Get Directions Write a Review

NPPES record last updated: October 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2023, Nov 29, 2021, Dec 28, 2018 (3 updates tracked since 2018).

About Woosuk Park Md NPPES

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

WOOSUK PARK MD (NPI 1366453656) is an individual gastroenterology provider in Kenosha, Wisconsin, licensed in Wisconsin (49236) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1366453656
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameWOOSUK PARKCredential: MD
Location Address10400 75TH STKenosha, WI 53142
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 948-7000
Phone(629) 487-0002
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 11, 2006
Last NPPES UpdateOctober 15, 20233 updates tracked since enumeration
NPPES CertifiedOctober 15, 2023
✔ NPI 1366453656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 49236
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
10400 75TH ST, Kenosha, WI 53142
Open in Google Maps ↗

Other Identifiers 2

Other391264986WI · Tax Id
Medicaid34878800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Woosuk 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 ID4981601630
PECOS Enrollment IDI20061023000374
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 11

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
147 services146 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
91 services85 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
62 services61 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
24 services24 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
21 services21 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

DR. UZMA REZVI M. D.
Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DAVID B KITE PA
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-7000
MRS. SUSAN H. PERGANDE WHNP
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-6714
DAVID ERIC FARKAS MD
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Kenosha County (262) 697-7000
PAULA MICHELLE OSGOOD CRNA
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DOROTHY KATHERINE FREE
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
ZEBI FATIMA MD
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 942-5600
JENNIFER J JOHNSON RN
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5730

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 Woosuk Park's NPI number?

The NPI number for Woosuk Park is 1366453656. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Woosuk Park located?

Woosuk Park practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (629) 487-0002.

What is Woosuk Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Woosuk Park enrolled in Medicare?

Yes. Woosuk 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 Woosuk Park accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Woosuk 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 Woosuk Park affiliated with any hospitals?

According to CMS data, Woosuk Park is affiliated with Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Woosuk Park was last updated on October 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.