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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHAN DONG PARK M.D.
NPI 1407815665
Internal Medicine in Martinsburg, WV

Active since March 17, 2006PECOS Enrolled
1002 SUSHRUTA DR, MARTINSBURG, WV 25401(304) 263-0913(304) 267-2917 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chan Dong Park M.d. NPPES

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

CHAN DONG PARK M.D. (NPI 1407815665) is an individual internal medicine provider in Martinsburg, West Virginia, licensed in West Virginia (17219) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407815665
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHAN DONG PARKCredential: M.D.
Location Address1002 SUSHRUTA DRMartinsburg, WV 25401-8897
Mailing Address1002 Sushruta DrMartinsburg, WV 25401-8897 · (304) 263-0913 · Fax (304) 267-2917
Phone(304) 263-0913
Fax(304) 267-2917
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407815665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 17219
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1002 SUSHRUTA DR, Martinsburg, WV 25401
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Other Identifiers 1

Medicaid0075530000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chan Dong Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CITY HOSPITAL INC
Internal Medicine
1002 SUSHRUTA DR
MARTINSBURG, WV 25401
Berkeley County (304) 263-0913
WENDY SUE JENT
Student in an Organized Health Care Education/Training Program
1002 SUSHRUTA DR
MARTINSBURG, WV 25401
Berkeley County (304) 263-0913
DR. UROOJ FATIMA MD
Student in an Organized Health Care Education/Training Program
1002 SUSHRUTA DR
MARTINSBURG, WV 25401
Berkeley County (304) 263-0913
DR. JESSE BRIAN JALAZO MD
Internal Medicine
1002 SUSHRUTA DR
MARTINSBURG, WV 25401
Berkeley County (304) 263-0913
YONAS GEBEYEHU MD
Student in an Organized Health Care Education/Training Program
1002 SUSHRUTA DR
MARTINSBURG, WV 25401
Berkeley County (304) 263-0913
SIBEL CALISKAN YILMAZ MD
Student in an Organized Health Care Education/Training Program
1002 SUSHRUTA DR
MARTINSBURG, WV 25401
Berkeley County (304) 263-0913
ALI ARSALAN SARABI MD
Student in an Organized Health Care Education/Training Program
1002 SUSHRUTA DR
MARTINSBURG, WV 25401
Berkeley County (304) 263-0913
MARTINSBURG INTERNAL MEDICINE ASSOC INC
Internal Medicine
1002 SUSHRUTA DR
MARTINSBURG, WV 25401
Berkeley County (304) 263-0913

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 Chan Park's NPI number?

The NPI number for Chan Park is 1407815665. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Chan Park located?

Chan Park practices at 1002 Sushruta Dr, Martinsburg, WV 25401. The listed phone number is (304) 263-0913.

What is Chan Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Chan Park enrolled in Medicare?

Yes. Chan Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chan Park was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.