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ANDREA PARK M.D.
NPI 1659834430
Pediatrics - Developmental - Behavioral Pediatrics in Omaha, NE

Active since April 09, 2019PECOS Enrolled
982161 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 559-5380 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 8, 2022, Apr 9, 2019 (2 updates tracked since 2019).

About Andrea Park M.d. NPPES

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

ANDREA PARK M.D. (NPI 1659834430) is an individual developmental - behavioral pediatrics provider in Omaha, Nebraska, licensed in Nebraska (36064) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659834430
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameANDREA PARKCredential: M.D.
Location Address982161 NEBRASKA MEDICAL CTROmaha, NE 68198-2161
Mailing Address982161 Nebraska Medical CtrOmaha, NE 68198-2161 · (402) 559-5380
Phone(402) 559-5380
Sole ProprietorNo
Enumeration DateApril 9, 2019
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1659834430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in NE · 36064
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
982161 NEBRASKA MEDICAL CTR, Omaha, NE 68198
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Park M.d. 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 Andrea Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geisinger Clinic
937 mi
Pediatrics
210 MEDICAL CENTER DRIVE
Philipsburg, PA 16866
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1811948367 (814) 342-8001

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLON DE ARMAS MEDINA MD
Pediatrics (Pediatric Gastroenterology)
982161 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 955-5700
DR. LUIS CARLO RIVERA MARTINEZ MD
Pediatrics
982161 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 955-5700
DR. SITTICHOKE PRACHUAPTHUNYACHART MD
Student in an Organized Health Care Education/Training Program
982161 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-2412
DR. HANH THI DIEM VO MD
Pediatrics (Pediatric Gastroenterology)
982161 NEBRASKA MEDICAL CTR, PEDIATRIC GASTROENTEROLOGY
OMAHA, NE 68198
Douglas County (402) 552-2028

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 Andrea Park's NPI number?

The NPI number for Andrea Park is 1659834430. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Andrea Park located?

Andrea Park practices at 982161 Nebraska Medical Ctr, Omaha, NE 68198. The listed phone number is (402) 559-5380.

What is Andrea Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Andrea Park enrolled in Medicare?

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

Which organization bills Medicare for Andrea Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Park reassigns Medicare benefits to Geisinger Clinic (Philipsburg, PA). 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 Andrea 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 Andrea Park was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.