DR. JONATHAN T. PAK M.D.
NPI 1467657056
Internal Medicine - Critical Care Medicine in Tucson, AZ

Q: What is Jonathan Pak's NPI number?

The NPI number for Jonathan Pak is 1467657056. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Q: What is Jonathan Pak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Pak was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 15, 2007PECOS EnrolledAccepts Medicare Assignment

6200 N LA CHOLLA BLVD, TUCSON, AZ 85741(520) 742-9000 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 7, 2025, Mar 1, 2021, Feb 25, 2021 (3 updates tracked since 2021).

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About Dr. Jonathan T. Pak M.d. NPPES

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

DR. JONATHAN T. PAK M.D. (NPI 1467657056) is an individual critical care medicine provider in Tucson, Arizona, licensed in Oregon (MD153593) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467657056

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. JONATHAN T. PAKCredential: M.D.

Location Address6200 N LA CHOLLA BLVDTucson, AZ 85741-3529

Mailing Address3181 Sw Sam Jackson Park Rd, Mail Code Uhn67Portland, OR 97239-3011 · (206) 369-4424

Phone(520) 742-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 15, 2007

Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1467657056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Licenses✔ Licensed in OR · MD153593✔ Licensed in AZ · 71961✔ Licensed in WA · MD61099515

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

6200 N LA CHOLLA BLVD, Tucson, AZ 85741

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Secondary Practice Locations 2

Location 13181 SW Sam Jackson Park Rd, Mail Code UHN67Portland, OR 97239-3011 · Phone (503) 494-8211

Location 2200 NE Mother Joseph Pl Ste 330Vancouver, WA 98664-3288 · Phone (360) 514-2990 · Fax (360) 514-3508

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan T. Pak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436305018

PECOS Enrollment IDI20120814000676, I20251030003501

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

118 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380020

Location1460 G StreetSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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.

ELLEN MARIE KULESA CRNA

Nurse Anesthetist, Certified Registered