DR. JAY SUNG PARK D.O.
NPI 1639167877
Radiology - Diagnostic Radiology in Lakeland, FL
About Dr. Jay Sung Park D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAY SUNG PARK D.O. (NPI 1639167877) is an individual diagnostic radiology provider in Lakeland, Florida, licensed in Florida (OS11094) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hammond.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Jay Sung Park D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jay Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Myers, FL 33912
- Reassigned Medicare billing, Florida enrollment
- 1,278 clinicians in this Medicare group
Hammond, LA 70403
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Baton Rouge, LA 70808
- Reassigned Medicare billing, Florida enrollment
- 3 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.
Areas of Expertise CMS Part B claims 47
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAKELAND, FL 33805
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 Jay Park's NPI number?
The NPI number for Jay Park is 1639167877. It was assigned to this individual provider in the NPPES registry on October 12, 2005.
Where is Jay Park located?
Jay Park practices at 1600 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 680-7000.
What is Jay Park's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jay Park enrolled in Medicare?
Yes. Jay Park is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jay Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jay Park reassigns Medicare benefits to 3 organizations: Millennium Physician Group LLC (Fort Myers, FL), North Oaks Medical Center, LLC (Hammond, LA) and Baton Rouge Radiology Group Inc (Baton Rouge, LA). Each 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 Jay Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jay Park accept?
Health plans from Blue Cross and Blue Shield of Texas, HMO Louisiana and Oscar Health Maintenance Organization of Florida list Jay 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.
When was this NPI record last updated?
The NPPES record for Jay Park was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.