LESLIE ANN PARK M.D.
NPI 1649531781
Internal Medicine in New York, NY
About Leslie Ann Park M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LESLIE ANN PARK M.D. (NPI 1649531781) is an individual internal medicine provider in New York, New York, licensed in New York (272193) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2012).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Leslie Ann 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.
Medicare Billing Reassignments
3Medicare enrollment records show Leslie Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 31 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 315 clinicians in this Medicare group
New York, NY 10075
- Reassigned Medicare billing, New York enrollment
- 596 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10065
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 Leslie Park's NPI number?
The NPI number for Leslie Park is 1649531781. It was assigned to this individual provider in the NPPES registry on June 5, 2012.
Where is Leslie Park located?
Leslie Park practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.
What is Leslie Park's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Leslie Park enrolled in Medicare?
Yes. Leslie Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Leslie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Park reassigns Medicare benefits to 3 organizations: Memorial Gastroenterology Group (New York, NY), Memorial Medical Consultation Group (New York, NY) and City Medical Of Upper East Side, PLLC (New York, NY). 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 Leslie 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 Leslie Park was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Leslie Ann Park, M.D. · NPI 1649531781
Internal Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 5, 2012.
## Identity
- **NPI:** 1649531781 (Entity type: Individual)
- **Enumerated:** June 5, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 272193 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Memorial Gastroenterology Group (NPI 1629049192, New York, NY); Memorial Medical Consultation Group (NPI 1053382523, New York, NY); City Medical Of Upper East Side, PLLC (NPI 1508400813, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Rochester School Of Medicine And Dentistry, class of 2012
## Record status
- **NPPES last updated:** January 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1649531781) · Data from the CMS NPPES public registry.