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JI EUN PARK MD, MA
NPI 1417344417
Internal Medicine - Interventional Cardiology in Tucson, AZ

Active since April 17, 2015PECOS Enrolled
3601 S 6TH AVE, TUCSON, AZ 85723(520) 792-1450 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ji Eun Park Md, Ma NPPES

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

JI EUN PARK MD, MA (NPI 1417344417) is an individual interventional cardiology provider in Tucson, Arizona, licensed in Arizona (70403) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417344417
Entity TypeIndividualFemale
Primary Taxonomy207RI0011X
Provider Legal NameJI EUN PARKCredential: MD, MA
Location Address3601 S 6TH AVETucson, AZ 85723-0001
Mailing Address3601 S 6th AveTucson, AZ 85723-0001
Phone(520) 792-1450
Sole ProprietorNo
Enumeration DateApril 17, 2015
Last NPPES UpdateJuly 1, 2023
NPPES CertifiedJuly 1, 2023
✔ NPI 1417344417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in AZ · 70403
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 70403 (AZ)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 70403 (AZ)
3601 S 6TH AVE, Tucson, AZ 85723
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ji Eun Park Md, Ma 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 85723 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

DR. DAVID SPENCER HAMILTON SR. MD
Internal Medicine (Cardiovascular Disease)
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
KEVIN JAY CARRASCO PHARM.D.
Pharmacist
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
BRITTANY BERNADETTE HERRERA MSW
Social Worker
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
EVAN KEITH MALLORY PHARMD
Pharmacist
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
MS. JANICE ELIZABETH THRON-KELLY LCSW
Social Worker (Clinical)
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
CRISTINA IRENE MATEI M.D.
Psychiatry & Neurology (Neurology)
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
RAVEN JANIN MARSHALL-SANTILLAN PA-C
Physician Assistant
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
DR. JEREMY W HALL PHARM D
Pharmacist
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450

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 Ji Eun Park's NPI number?

The NPI number for Ji Eun Park is 1417344417. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Ji Eun Park located?

Ji Eun Park practices at 3601 S 6th Ave, Tucson, AZ 85723. The listed phone number is (520) 792-1450.

What is Ji Eun Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Ji Eun Park enrolled in Medicare?

Yes. Ji Eun Park is registered in the Medicare PECOS enrollment system.

What insurance does Ji Eun Park accept?

Health plans from Blue Cross Blue Shield of Arizona list Ji Eun 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.

When was this NPI record last updated?

The NPPES record for Ji Eun Park was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.