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DR. TAE SOON PARK D.P.M.
NPI 1528226263
Podiatrist - Foot & Ankle Surgery in Bellevue, WA

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment
2950 NORTHUP WAY STE 115, BELLEVUE, WA 98004(425) 893-8100 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tae Soon Park D.p.m. NPPES

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

DR. TAE SOON PARK D.P.M. (NPI 1528226263) is an individual foot & ankle surgery provider in Bellevue, Washington, licensed in Washington (PO 60234756) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of New York College Of Podiatric Medicine (2008).

NPPES Registry Identity

NPI1528226263
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. TAE SOON PARKCredential: D.P.M.
Location Address2950 NORTHUP WAY STE 115Bellevue, WA 98004-1406
Mailing Address1408 Sw 170th StNormandy Park, WA 98166-3448 · (917) 843-2735
Phone(425) 893-8100
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2008
Enumeration DateMay 29, 2008
Last NPPES UpdateMarch 9, 2015
✔ NPI 1528226263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in WA · PO 60234756✔ Licensed in CA · E4895
2950 NORTHUP WAY STE 115, Bellevue, WA 98004
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Other Names 1

Other Name (5)Dr. Ted Park D.p.m.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Tae Soon Park D.p.m. 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 ID8921271024
PECOS Enrollment IDI20111107000305
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services42 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
34 services15 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
31 services17 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
30 services21 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

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 Tae Soon Park's NPI number?

The NPI number for Tae Soon Park is 1528226263. It was assigned to this individual provider in the NPPES registry on May 29, 2008. The provider is also known as Dr. Ted Park D.P.M..

Where is Tae Soon Park located?

Tae Soon Park practices at 2950 Northup Way Ste 115, Bellevue, WA 98004. The listed phone number is (425) 893-8100.

What is Tae Soon Park's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Tae Soon Park enrolled in Medicare?

Yes. Tae Soon 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 Tae Soon Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tae Soon 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.

Is Tae Soon Park affiliated with any hospitals?

According to CMS data, Tae Soon Park is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Tae Soon Park was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.