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DAVID KYUNG-IL PARK M.D.
NPI 1578763413
Emergency Medicine in San Leandro, CA

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
2500 MERCED SREET, SAN LEANDRO, CA 94577(510) 454-1000(720) 293-3055 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About David Kyung-il Park M.d. NPPES

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

DAVID KYUNG-IL PARK M.D. (NPI 1578763413) is an individual emergency medicine provider in San Leandro, California, licensed in California (A100165) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2003).

NPPES Registry Identity

NPI1578763413
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAVID KYUNG-IL PARKCredential: M.D.
Location Address2500 MERCED SREETSan Leandro, CA 94577-4201
Mailing Address2500 Merced StreetSan Leandro, CA 94577-4201 · (510) 454-1000 · Fax (720) 293-3055
Phone(510) 454-1000
Fax(720) 293-3055
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2003
Enumeration DateJuly 19, 2007
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1578763413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A100165
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2500 MERCED SREET, San Leandro, CA 94577
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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 and accepts Medicare assignment

David Kyung-il Park M.d. 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 ID4981799244
PECOS Enrollment IDI20071001000785
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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94577 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 David Park's NPI number?

The NPI number for David Park is 1578763413. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is David Park located?

David Park practices at 2500 Merced Sreet, San Leandro, CA 94577. The listed phone number is (510) 454-1000.

What is David Park's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Park enrolled in Medicare?

Yes. David 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.

When was this NPI record last updated?

The NPPES record for David Park was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.