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JAEHO PARK MD
NPI 1477384287
Internal Medicine - Gastroenterology in Little Rock, AR

Active since August 13, 2024PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 520, LITTLE ROCK, AR 72205(501) 686-8000(501) 526-5148 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 13, 2024, Aug 13, 2024 (2 updates tracked since 2024).

About Jaeho Park Md NPPES

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

JAEHO PARK MD (NPI 1477384287) is an individual gastroenterology provider in Little Rock, Arkansas, licensed in Arkansas (E-18398) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1477384287
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJAEHO PARKCredential: MD
Location Address4301 W MARKHAM ST # 520Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5128
Phone(501) 686-8000
Fax(501) 526-5148
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 13, 2024
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1477384287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AR · E-18398
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License E-18398 (AR)
4301 W MARKHAM ST # 520, Little Rock, AR 72205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Jaeho Park Md 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 ID6507306727
PECOS Enrollment IDI20241011004080
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 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

SANDRA MINERVA GARCIA OSOGOBIO MD
Colon & Rectal Surgery
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
MISS MARINNA RAEF TADROS MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 626-6627
MADELINE NACHTIGAL DO
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5205
LAUREN JOHNSON
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6912
ALEXANDRA GRACE OTWELL MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
DR. LEVI DANIEL WATSON MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
DR. GREGORY TYLER RIVES MD
Surgery
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
JOSEPH DELOACH
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627

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 Jaeho Park's NPI number?

The NPI number for Jaeho Park is 1477384287. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Jaeho Park located?

Jaeho Park practices at 4301 W Markham St # 520, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Jaeho Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jaeho Park enrolled in Medicare?

Yes. Jaeho Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaeho Park accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Jaeho 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 Jaeho Park was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.