1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Family Medicine
  6. NPI Profile

BUMSOO PARK MD
NPI 1376924373
Family Medicine in New York, NY

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
360 W 31ST ST FL 3, NEW YORK, NY 10001(646) 987-3436(646) 293-1441 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2025, Jan 2, 2019, Aug 8, 2018 (3 updates tracked since 2018).

About Bumsoo Park Md NPPES

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

BUMSOO PARK MD (NPI 1376924373) is an individual family medicine provider in New York, New York, licensed in New York (336914) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1376924373
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBUMSOO PARKCredential: MD
Location Address360 W 31ST ST FL 3New York, NY 10001-2861
Mailing Address700 Hicksville RdBethpage, NY 11714-3471
Phone(646) 987-3436
Fax(646) 293-1441
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 15, 2015
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1376924373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 336914✔ Licensed in MI · 4301108105
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
360 W 31ST ST FL 3, New York, NY 10001
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community.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

Bumsoo 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 ID1557674660
PECOS Enrollment IDI20180717002379, I20250701003110
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 5

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 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.
61 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
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.
27 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services22 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.29 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 3

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

KEVIN SCHAFER MD
Orthopaedic Surgery (Foot and Ankle Surgery)
360 W 31ST ST FL 3
NEW YORK, NY 10001
New York County (646) 987-3436
MR. JONATHAN ROBERT BAKER PA-C
Physician Assistant
360 W 31ST ST FL 3
NEW YORK, NY 10001
New York County (646) 987-3436
DR. ELVINA KHUSAINOVA M.D.
Internal Medicine (Pulmonary Disease)
360 W 31ST ST FL 3
NEW YORK, NY 10001
New York County (646) 987-3436

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 Bumsoo Park's NPI number?

The NPI number for Bumsoo Park is 1376924373. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Bumsoo Park located?

Bumsoo Park practices at 360 W 31st St Fl 3, New York, NY 10001. The listed phone number is (646) 987-3436.

What is Bumsoo Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bumsoo Park enrolled in Medicare?

Yes. Bumsoo 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 Bumsoo Park accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Bumsoo 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 Bumsoo Park affiliated with any hospitals?

According to CMS data, Bumsoo Park is affiliated with University Of Michigan Health System and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Bumsoo Park was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.