DR. EDWARD PARK D.O.
NPI 1396907317
Internal Medicine in Olympia, WA
About Dr. Edward Park D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD PARK D.O. (NPI 1396907317) is an individual internal medicine provider in Olympia, Washington, licensed in Washington (OP60694387) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Dr. Edward Park D.o. 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 Edward Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 646 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Centralia Hospital
Acute Care Hospitals · Centralia, WAProvidence St Peter Hospital
Acute Care Hospitals · Olympia, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OLYMPIA, WA 98506
OLYMPIA, WA 98506
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 Edward Park's NPI number?
The NPI number for Edward Park is 1396907317. It was assigned to this individual provider in the NPPES registry on July 1, 2008.
Where is Edward Park located?
Edward Park practices at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-4083.
What is Edward Park's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Edward Park enrolled in Medicare?
Yes. Edward 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 Edward Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Park reassigns Medicare benefits to Providence Health & Services Washington (Olympia, WA). 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 Edward Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Park accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Edward 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 Edward Park affiliated with any hospitals?
According to CMS data, Edward Park is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.
When was this NPI record last updated?
The NPPES record for Edward Park was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Edward Park, D.O. · NPI 1396907317
Internal Medicine physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since July 1, 2008.
## Identity
- **NPI:** 1396907317 (Entity type: Individual)
- **Enumerated:** July 1, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** OP60694387 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 413 LILLY RD NE, Olympia, WA 98506-5133
- **Phone:** (360) 493-4083
## 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:** Providence Health & Services Washington (NPI 1174744304, Olympia, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2008
## Record status
- **NPPES last updated:** July 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1396907317) · Data from the CMS NPPES public registry.