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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIMOTHY PARK MD
NPI 1558288456
Family Medicine in Omaha, NE

Active since July 01, 2026PECOS Enrolled
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF FAMILY MEDICINE, OMAHA, NE 68124(402) 280-4318 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Park Md NPPES

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

TIMOTHY PARK MD (NPI 1558288456) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (10626) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558288456
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY PARKCredential: MD
Location Address7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF FAMILY MEDICINEOmaha, NE 68124-2353
Mailing Address7710 Mercy Road, Suite 202, Cu Department Of Family MedicineOmaha, NE 68124-2353 · (402) 280-4318
Phone(402) 280-4318
Sole ProprietorNo
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1558288456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 10626
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7710 MERCY ROAD, SUITE 202, Omaha, NE 68124
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 68124 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

HO TAIK SUNG MD
Psychiatry & Neurology (Psychiatry)
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF PSYCHIATRY
OMAHA, NE 68124
Douglas County (402) 280-4195
DR. DILLON JAMES WADE MD
Surgery
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF SURGERY
OMAHA, NE 68124
Douglas County (402) 280-4669
DR. DURVA MASIH
Internal Medicine
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4392
DR. NAYANA SASIDHARAN MBBS
Family Medicine
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF (FAMILY MEDICINE)
OMAHA, NE 68124
Douglas County (402) 280-4318
DR. CAITLIN LECONTE MD
Psychiatry & Neurology (Psychiatry)
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF PSYCHIATRY
OMAHA, NE 68124
Douglas County (402) 280-4195
SYDNEY MAE GIBSON
Student in an Organized Health Care Education/Training Program
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF SURGERY
OMAHA, NE 68124
Douglas County (402) 280-4669
JAMIE CIMINO
Obstetrics & Gynecology
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
OMAHA, NE 68124
Douglas County (402) 280-4438
JENNIFER BROOKS MD
Obstetrics & Gynecology
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
OMAHA, NE 68124
Douglas County (402) 280-4438

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 Timothy Park's NPI number?

The NPI number for Timothy Park is 1558288456. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Timothy Park located?

Timothy Park practices at 7710 Mercy Road, Suite 202 Cu Department Of Family Medicine, Omaha, NE 68124. The listed phone number is (402) 280-4318.

What is Timothy Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Park enrolled in Medicare?

Yes. Timothy Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Park was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.