KEVIN S PARK MD INC
NPI 1528205226
Specialist in Downey, CA
About Kevin S Park Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN S PARK MD INC (NPI 1528205226) is a healthcare organization registered as a specialist in Downey, California and active in the NPI registry since January 2009. The organization lists Kevin Songchol Park, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin S Park Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin S Park MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kevin S Park MD Inc's NPI number?
The NPI number for Kevin S Park MD Inc is 1528205226. It was assigned to this organization in the NPPES registry on January 16, 2009.
Where is Kevin S Park MD Inc located?
Kevin S Park MD Inc is located at 11411 Brookshire Ave Suite 200, Downey, CA 90241. The listed phone number is (562) 869-4421.
What is Kevin S Park MD Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Kevin S Park MD Inc enrolled in Medicare?
Yes. Kevin S Park MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kevin S Park MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Kevin S Park MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kevin S Park MD Inc was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kevin S Park Md Inc · NPI 1528205226
Specialist organization in Downey, California. Organization record, active in the CMS NPPES registry since January 16, 2009.
## Identity
- **NPI:** 1528205226 (Entity type: Organization)
- **Enumerated:** January 16, 2009
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Kevin Park, PRESIDENT
## Practice location
- **Address:** 11411 BROOKSHIRE AVE, SUITE 200, Downey, CA 90241-4985
- **Phone:** (562) 869-4421 · **Fax:** (562) 869-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Orthopedic Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2010
- **Other identifiers:** Medicare UPIN G98129 (CA); Medicare PIN BM382A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1528205226) · Data from the CMS NPPES public registry.