DR. EUN SOO DAVID PARK M.D.
NPI 1407205743
Family Medicine in Tucson, AZ
NPI Status: Active since June 07, 2016
Contact Information
4175 S ALAMO AVE
TUCSON, AZ
ZIP 85707
Phone: (520) 228-2778
- Individual
- Male
- Family Medicine
- Opted-Out Medicare
About EUN SOO PARK
This page provides the complete NPI Profile along with additional information for Eun Soo Park, a primary care provider established in Tucson, Arizona with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1407205743 assigned on June 2016. The practitioner's primary taxonomy code is 207Q00000X with license number 4301116860 (MI). The provider is registered as an individual and his NPI record was last updated April 2026.
- NPI
- 1407205743
- Provider Name
- DR. EUN SOO DAVID PARK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4175 S ALAMO AVE TUCSON, AZ 85707
- Location Phone
- (520) 228-2778
- Mailing Address
- 310 N WILMOT RD STE 301 TUCSON, AZ 85711
- Mailing Phone
- (520) 771-6675
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-07-2016
- Last Update Date
- 04-21-2026
- Code Navigator
A primary care provider (PCP) like Eun Soo Park sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Eun Soo Park opted out of Medicare effective on 02-17-2026 until 02-17-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 310 N Wilmot Rd Ste 301
Tucson, AZ 85711
(520) 771-6675
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301116860
- License State
- MI
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-17-2026
Opt-Out End Date: 02-17-2028
Eligible to Order and Refer? Yes
Reviews for DR. EUN SOO DAVID PARK M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407205743, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DAVIS MONTHAN AFB, AZ 85707
DAVIS MONTHAN AFB, AZ 85707
TUCSON, AZ 85707
DM AFB, AZ 85707
DAVIS MONTHAN A F B, AZ 85707
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407205743, enumerated as an "individual" on June 07, 2016.
The provider is located at 4175 S ALAMO AVE TUCSON, AZ 85707 and the phone number is (520) 228-2778.
Family Medicine with taxonomy code 207Q00000X.