KEN JONGHO PARK M.D.
NPI 1649436585
Internal Medicine - Nephrology in Salem, OR

Q: What is Ken Park's NPI number?

The NPI number for Ken Park is 1649436585. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Q: What is Ken Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Ken Park was last updated on February 4, 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.

Active since July 30, 2008PECOS EnrolledAccepts Medicare Assignment

2400 LANCASTER DR NE, SALEM, OR 97305(503) 361-5400 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ken Jongho Park M.d. NPPES

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

KEN JONGHO PARK M.D. (NPI 1649436585) is an individual nephrology provider in Salem, Oregon, licensed in Oregon (MD150901) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Rush Medical College Of Rush University (2004).

NPPES Registry Identity

NPI1649436585

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameKEN JONGHO PARKCredential: M.D.

Location Address2400 LANCASTER DR NESalem, OR 97305-1221

Mailing Address2400 Lancaster Dr NeSalem, OR 97305-1221 · (503) 361-5400

Phone(503) 361-5400

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2004

Enumeration DateJuly 30, 2008

Last NPPES UpdateFebruary 4, 2022

✔ NPI 1649436585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in OR · MD150901✔ Licensed in WA · MD60140050

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2400 LANCASTER DR NE, Salem, OR 97305

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

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

Ken Jongho 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 ID5193858264

PECOS Enrollment IDI20100727000725

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

17 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Salem Hospital

Acute Care Hospitals · Salem, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380051

Location890 Oak Street, SESalem, OR 97301 · Marion County

Emergency services Birthing friendly

Kaiser Foundation Hospital Westside

Acute Care Hospitals · Hillsboro, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380103

Location2875 NW Stucki AveHillsboro, OR 97124 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97305 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

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