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IN KWON PARK MD PLLC
NPI 1417509746
Internal Medicine in Lakewood, WA

Active since July 16, 2019
8730 S TACOMA WAY STE 104, LAKEWOOD, WA 98499(253) 212-3637(253) 267-0153 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2022, May 21, 2020, Jul 16, 2019 (3 updates tracked since 2019).

About In Kwon Park Md Pllc NPPES

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

IN KWON PARK MD PLLC (NPI 1417509746) is a healthcare organization registered as an internal medicine in Lakewood, Washington and active in the NPI registry since July 2019. The organization lists In Kwon Park, Md, as its authorized official.

NPPES Registry Identity

NPI1417509746
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIN KWON PARK MD PLLC
Location Address8730 S TACOMA WAY STE 104Lakewood, WA 98499-4521
Mailing Address8730 S Tacoma Way Ste 104Lakewood, WA 98499-4521 · (253) 212-3637 · Fax (253) 267-0153
Phone(253) 212-3637
Fax(253) 267-0153
Organization SubpartNo
Authorized OfficialIn Kwon ParkMd · (253) 212-3637
Enumeration DateJuly 16, 2019
Last NPPES UpdateJuly 26, 20223 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1417509746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
8730 S TACOMA WAY STE 104, Lakewood, WA 98499
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

In Kwon Park Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to In Kwon Park MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

In Kwon Park, MD
Internal Medicine
NPI 1255588679
8730 S TACOMA WAY STE 104
Lakewood, WA 98499
(253) 212-3637
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 In Kwon Park MD PLLC's NPI number?

The NPI number for In Kwon Park MD PLLC is 1417509746. It was assigned to this organization in the NPPES registry on July 16, 2019.

Where is In Kwon Park MD PLLC located?

In Kwon Park MD PLLC is located at 8730 S Tacoma Way Ste 104, Lakewood, WA 98499. The listed phone number is (253) 212-3637.

What is In Kwon Park MD PLLC's specialty?

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

Is In Kwon Park MD PLLC enrolled in Medicare?

Yes. In Kwon Park MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through In Kwon Park MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to In Kwon Park MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does In Kwon Park MD PLLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list In Kwon Park MD PLLC 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 In Kwon Park MD PLLC was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.