DR. EUN SOO DAVID PARK M.D.
NPI 1407205743
Family Medicine in Tucson, AZ
About Dr. Eun Soo David Park M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EUN SOO DAVID PARK M.D. (NPI 1407205743) is an individual family medicine provider in Tucson, Arizona, licensed in Michigan (4301116860) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2015).
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
Dr. Eun Soo David 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 Eun Soo Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tucson, AZ 85711
- Reassigned Medicare billing, Arizona enrollment
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 85707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DM AFB, AZ 85707
TUCSON, AZ 85707
TUCSON, AZ 85707
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 Eun Soo Park's NPI number?
The NPI number for Eun Soo Park is 1407205743. It was assigned to this individual provider in the NPPES registry on June 7, 2016.
Where is Eun Soo Park located?
Eun Soo Park practices at 4175 S Alamo Ave, Tucson, AZ 85707. The listed phone number is (520) 228-2778.
What is Eun Soo Park's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Eun Soo Park enrolled in Medicare?
Yes. Eun Soo 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 Eun Soo Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eun Soo Park reassigns Medicare benefits to Park Family Medicine LLC (Tucson, AZ). 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 Eun Soo 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 Eun Soo Park was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Eun Soo David Park, M.D. · NPI 1407205743
Family Medicine physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since June 7, 2016.
## Identity
- **NPI:** 1407205743 (Entity type: Individual)
- **Enumerated:** June 7, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301116860 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4175 S ALAMO AVE, Tucson, AZ 85707-4402
- **Phone:** (520) 228-2778
## 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:** Park Family Medicine LLC (NPI 1376488858, Tucson, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407205743) · Data from the CMS NPPES public registry.