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DR. CHAN S. PARK MD
NPI 1619940681
Emergency Medicine in Williamsburg, VA

Active since February 09, 2006PECOS Enrolled
MICHUMI, PLLC DBA MED EXPRESS OF WILLIAMSBURG, VA, 120 MONTICELLO AVE, WILLIAMSBURG, VA 23185(757) 564-3627(757) 564-6449 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Chan S. Park Md NPPES

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

DR. CHAN S. PARK MD (NPI 1619940681) is an individual emergency medicine provider in Williamsburg, Virginia, licensed in Virginia (0101043881) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619940681
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CHAN S. PARKCredential: MD
Location AddressMICHUMI, PLLC DBA MED EXPRESS OF WILLIAMSBURG, VA, 120 MONTICELLO AVEWilliamsburg, VA 23185
Mailing AddressPo Box 5508Virginia Beach, VA 23471-0508 · (757) 340-3489 · Fax (757) 340-4278
Phone(757) 564-3627
Fax(757) 564-6449
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 7, 2008
✔ NPI 1619940681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101043881
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.
MICHUMI, PLLC DBA MED EXPRESS OF WILLIAMSBURG, VA, Williamsburg, VA 23185
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Other Identifiers 4

Medicaid010094321VA
OtherP00153223VA · Rrmed
Medicare UPINE35011
Medicare PIN00W070M02VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chan S. 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.

Medicare Billing Reassignment

Medicare enrollment records show Chan Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michumi PLLC
Same address
Emergency Medicine
120 MONTICELLO AVE
Williamsburg, VA 23185
  • Reassigned Medicare billing, Virginia enrollment
  • 50 clinicians in this Medicare group
NPI 1255388021 (757) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23185 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 Chan Park's NPI number?

The NPI number for Chan Park is 1619940681. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Chan Park located?

Chan Park practices at Michumi, PLLC Dba Med Express Of Williamsburg, VA 120 Monticello Ave, Williamsburg, VA 23185. The listed phone number is (757) 564-3627.

What is Chan Park's specialty?

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

Is Chan Park enrolled in Medicare?

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

Which organization bills Medicare for Chan Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chan Park reassigns Medicare benefits to Michumi PLLC (Williamsburg, VA). 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 Chan Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chan Park was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.