DR. MOSES-DARA ELIJAH PARKS MD
NPI 1619654548
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since July 03, 2023PECOS Enrolled
2601 HOLME AVE, PHILADELPHIA, PA 19152(215) 335-6520 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Moses-dara Elijah Parks Md NPPES

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

DR. MOSES-DARA ELIJAH PARKS MD (NPI 1619654548) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619654548
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MOSES-DARA ELIJAH PARKSCredential: MD
Location Address2601 HOLME AVEPhiladelphia, PA 19152-2007
Mailing Address2601 Holme AvePhiladelphia, PA 19152-2007 · (215) 335-6520
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 2, 2023
✔ NPI 1619654548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2601 HOLME AVE, Philadelphia, PA 19152

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Moses-dara Elijah Parks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941774988
PECOS Enrollment IDI20260701000514
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.

Medicare Billing Reassignment

Medicare enrollment records show Moses-dara Parks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 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.

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.

Registered Nurse (Wound Care)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Physical Medicine & Rehabilitation
2601 HOLME AVE
PHILADELPHIA, PA 19152
Pathology (Clinical Pathology/Laboratory Medicine)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Hospitalist
2601 HOLME AVE
PHILADELPHIA, PA 19152
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2601 HOLME AVE, MARIAN BLDG., GROUND FLOOR
PHILADELPHIA, PA 19152
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine (Hematology & Oncology)
2601 HOLME AVE
PHILADELPHIA, PA 19152

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 Moses-dara Parks's NPI number?

The NPI number for Moses-dara Parks is 1619654548. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Moses-dara Parks located?

Moses-dara Parks practices at 2601 Holme Ave, Philadelphia, PA 19152. The listed phone number is (215) 335-6520.

What is Moses-dara Parks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Moses-dara Parks enrolled in Medicare?

Yes. Moses-dara Parks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Moses-dara Parks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moses-dara Parks reassigns Medicare benefits to Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Moses-dara Parks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Moses-dara Parks accept?

Health plans from Oscar Health Maintenance Organization of Florida list Moses-dara Parks 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.

When was this NPI record last updated?

The NPPES record for Moses-dara Parks was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.