LUKE SUNGWOO PARK MD
NPI 1639965155
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Q: What is Luke Park's NPI number?

The NPI number for Luke Park is 1639965155. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Q: What is Luke Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luke Park was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 21, 2025PECOS Enrolled

MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-2345(505) 272-2374 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 5, 2025, May 28, 2025 (2 updates tracked since 2025).

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About Luke Sungwoo Park Md NPPES

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

LUKE SUNGWOO PARK MD (NPI 1639965155) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2025-0099) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639965155

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLUKE SUNGWOO PARKCredential: MD

Location AddressMSC10 5590 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001

Mailing AddressMsc10 5590 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-2345 · Fax (505) 272-2374

Phone(505) 272-2345

Fax(505) 272-2374

Sole ProprietorYes

Enumeration DateApril 21, 2025

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1639965155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NM · RS2025-0099

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.

MSC10 5590 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

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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)

Luke Sungwoo 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.

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.

PAULINA VICTORIA MAJEWSKA MD

Student in an Organized Health Care Education/Training Program