DR. JIMMY K PARK MD
NPI 1396803144
Anesthesiology - Critical Care Medicine in Oak Lawn, IL

Q: What is Jimmy Park's NPI number?

The NPI number for Jimmy Park is 1396803144. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Jimmy Park's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jimmy Park was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 05, 2006PECOS EnrolledAccepts Medicare Assignment

4440 W 95TH ST, OAK LAWN, IL 60453(708) 283-5500 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 5, 2025, Jun 16, 2020 (2 updates tracked since 2020).

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About Dr. Jimmy K Park Md NPPES

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

DR. JIMMY K PARK MD (NPI 1396803144) is an individual critical care medicine provider in Oak Lawn, Illinois, licensed in Illinois (036-110648) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Shepherd Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396803144

Entity TypeIndividualMale

Primary Taxonomy207LC0200X

Provider Legal NameDR. JIMMY K PARKCredential: MD

Location Address4440 W 95TH STOak Lawn, IL 60453-2600

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 283-5500

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2000

Enumeration DateDecember 5, 2006

Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1396803144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LC0200X

License✔ Licensed in IL · 036-110648

Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 036110648 (IL)

4440 W 95TH ST, Oak Lawn, IL 60453

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Secondary Practice Locations 2

Location 110400 Haligus Rd Fl 2Huntley, IL 60142-9553 · Phone (224) 654-0000 · Fax (224) 654-0000

Location 2251 E Huron St # F5-704Chicago, IL 60611-2908 · Phone (312) 926-2537

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

Dr. Jimmy K 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 ID5496731879

PECOS Enrollment IDI20040626000049

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 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

212 services128 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

34 services26 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

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. MARK ADRIAN FAASSE MD

Urology