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CHRISTOPHER PARK MD
NPI 1447834593
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 05, 2021PECOS Enrolled
1130 WEST MICHIGAN ST., FESLER HALL, SUITE 400, INDIANAPOLIS, IN 46202(317) 278-1286 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christopher Park Md NPPES

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

CHRISTOPHER PARK MD (NPI 1447834593) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1447834593
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTOPHER PARKCredential: MD
Location Address1130 WEST MICHIGAN ST., FESLER HALL, SUITE 400Indianapolis, IN 46202
Mailing Address1130 West Michigan St., Fesler Hall, Suite 400Indianapolis, IN 46202 · (317) 278-1286
Phone(317) 278-1286
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 5, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1447834593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1130 WEST MICHIGAN ST., Indianapolis, IN 46202
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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)

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

PECOS PAC ID2860893393
PECOS Enrollment IDI20260529000421
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.

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 Christopher Park's NPI number?

The NPI number for Christopher Park is 1447834593. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Christopher Park located?

Christopher Park practices at 1130 West Michigan St. Fesler Hall, Suite 400, Indianapolis, IN 46202. The listed phone number is (317) 278-1286.

What is Christopher Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christopher Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Christopher Park was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.