SO YOUN PARK
NPI 1487218202
Surgery in Austin, TX
About So Youn Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SO YOUN PARK (NPI 1487218202) is an individual surgery provider in Austin, Texas, licensed in Texas (V9091) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
So Youn Park 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.
Medicare Billing Reassignment
Medicare enrollment records show So Youn Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78745
- Reassigned Medicare billing, Texas enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Columbus Community Hospital
Acute Care Hospitals · Columbus, TXSt David's Medical Center
Acute Care Hospitals · Austin, TXSt David's South Austin Medical Center
Acute Care Hospitals · Austin, TXBaylor Scott & White Medical Center - Round Rock
Acute Care Hospitals · Round Rock, TXBaylor Scott & White Medical Center - Marble Falls
Acute Care Hospitals · Marble Falls, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78745 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 So Youn Park's NPI number?
The NPI number for So Youn Park is 1487218202. It was assigned to this individual provider in the NPPES registry on April 26, 2019.
Where is So Youn Park located?
So Youn Park practices at 4207 James Casey St Ste 304, Austin, TX 78745. The listed phone number is (512) 428-4441.
What is So Youn Park's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is So Youn Park enrolled in Medicare?
Yes. So Youn 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.
Which organization bills Medicare for So Youn Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), So Youn Park reassigns Medicare benefits to Texas Acute Care Surgery LLC (Austin, TX). The 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 So Youn Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is So Youn Park affiliated with any hospitals?
According to CMS data, So Youn Park is affiliated with Columbus Community Hospital, St David's Medical Center, St David's South Austin Medical Center, Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center - Marble Falls.
When was this NPI record last updated?
The NPPES record for So Youn Park was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# So Youn Park · NPI 1487218202
Surgery physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since April 26, 2019.
## Identity
- **NPI:** 1487218202 (Entity type: Individual)
- **Enumerated:** April 26, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** V9091 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4207 JAMES CASEY ST STE 304, Austin, TX 78745-1193
- **Phone:** (512) 428-4441
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Acute Care Surgery LLC (NPI 1699430298, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2019
## Record status
- **NPPES last updated:** June 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487218202) · Data from the CMS NPPES public registry.