ALICE JEANNE PARK M.D.
NPI 1386955771
Family Medicine in Troy, MI
About Alice Jeanne Park M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICE JEANNE PARK M.D. (NPI 1386955771) is an individual family medicine provider in Troy, Michigan, licensed in Oregon (MD210848) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corvallis, and is a graduate of Loma Linda University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alice Jeanne Park M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Alice Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountain View, CA 94040
- Reassigned Medicare billing, California enrollment
- 217 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TROY, MI 48085
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 Alice Park's NPI number?
The NPI number for Alice Park is 1386955771. It was assigned to this individual provider in the NPPES registry on June 30, 2010.
Where is Alice Park located?
Alice Park practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-5000.
What is Alice Park's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alice Park enrolled in Medicare?
Yes. Alice 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.
Which organization bills Medicare for Alice Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alice Park reassigns Medicare benefits to Quantum Bay Area Hospitalist Medical Group Inc (Mountain View, CA). 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 Alice 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 Alice Park was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Alice Jeanne Park, M.D. · NPI 1386955771
Family Medicine physician in Troy, Michigan. Individual provider, active in the CMS NPPES registry since June 30, 2010.
## Identity
- **NPI:** 1386955771 (Entity type: Individual)
- **Enumerated:** June 30, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD210848 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 44201 DEQUINDRE RD, Troy, MI 48085-1117
- **Phone:** (248) 964-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Quantum Bay Area Hospitalist Medical Group Inc (NPI 1902279656, Mountain View, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** June 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386955771) · Data from the CMS NPPES public registry.