SU YOUNG PARK M.D.
NPI 1427406560
Pediatrics in Scranton, PA

Q: What is Su Young Park's NPI number?

The NPI number for Su Young Park is 1427406560. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Su Young Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Su Young Park was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 31, 2016PECOS Enrolled

1800 MULBERRY ST, SCRANTON, PA 18510(570) 703-8000(570) 703-8559 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 27, 2026, Jul 5, 2019 (2 updates tracked since 2019).

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About Su Young Park M.d. NPPES

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

SU YOUNG PARK M.D. (NPI 1427406560) is an individual pediatrics provider in Scranton, Pennsylvania, licensed in New Jersey (25MA11453500) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427406560

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSU YOUNG PARKCredential: M.D.

Location Address1800 MULBERRY STScranton, PA 18510-2369

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 703-8000

Fax(570) 703-8559

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 31, 2016

Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1427406560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NJ · 25MA11453500✔ Licensed in PA · MD467941

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1800 MULBERRY ST, Scranton, PA 18510

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3870829625

PECOS Enrollment IDI20260424003288

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 18510 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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. RAJAGOPALAN RENGAN D.O

Internal Medicine (Pulmonary Disease)