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SO MYUNG PARK DO
NPI 1659951788
Internal Medicine - Nephrology in Dallas, TX

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
1411 N BECKLEY AVE STE 370, DALLAS, TX 75203(214) 366-6460(214) 579-6983 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Jul 21, 2026, Apr 15, 2021 (3 updates tracked since 2021).

About So Myung Park Do NPPES

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

SO MYUNG PARK DO (NPI 1659951788) is an individual nephrology provider in Dallas, Texas, licensed in Texas (W8073) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of William Carey University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1659951788
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSO MYUNG PARKCredential: DO
Location Address1411 N BECKLEY AVE STE 370Dallas, TX 75203-1513
Mailing Address1505 Lyndon B Johnson Fwy Ste 700Dallas, TX 75234-6065 · (214) 358-2300 · Fax (214) 579-6941
Phone(214) 366-6460
Fax(214) 579-6983
Sole ProprietorNo
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 13, 2021
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1659951788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · W8073
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.
1411 N BECKLEY AVE STE 370, Dallas, TX 75203
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11411 N Beckley Ave Ste 268Dallas, TX 75203-1260 · Phone (214) 358-2300 ext. 6460 · Fax (214) 579-6983
Location 23604 Live Oak St Ste 100Dallas, TX 75204-6169 · Phone (214) 358-2300 ext. 6300 · Fax (214) 579-6985

Other Identifiers 1

OtherW8073TX · Tx Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

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

So Myung Park Do 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 ID547728131
PECOS Enrollment IDI20260813003948
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 So Myung Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dallas Nephrology Associates
12 mi
Nephrology
1505 LBJ FWY STE 700
Dallas, TX 75234
  • Reassigned Medicare billing, Texas enrollment
  • 183 clinicians in this Medicare group
NPI 1861440109 (214) 358-2300

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 75203 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 12

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

DR. KOSUNARTY FA M.D.
Internal Medicine (Nephrology)
1411 N BECKLEY AVE STE 370
DALLAS, TX 75203
Dallas County (214) 358-2300
RAVINA RAJESH LINENFELSER DO
Internal Medicine (Nephrology)
1411 N BECKLEY AVE STE 370
DALLAS, TX 75203
Dallas County (214) 358-2300
DR. NISARG V GANDHI DO
Internal Medicine (Nephrology)
1411 N BECKLEY AVE STE 370
DALLAS, TX 75203
Dallas County (214) 358-2300
SREEVALLI PARITI M.D.
Internal Medicine (Nephrology)
1411 N BECKLEY AVE STE 370
DALLAS, TX 75203
Dallas County (214) 358-2300
NOGGY DAVID JAEN FNP
Nurse Practitioner
1411 N BECKLEY AVE STE 370
DALLAS, TX 75203
Dallas County (214) 358-2300
LISA SEBASTIAN M.D.
Internal Medicine (Nephrology)
1411 N BECKLEY AVE STE 370
DALLAS, TX 75203
Dallas County (214) 358-2300
MILKA W NDUNGU N.P.
Nurse Practitioner
1411 N BECKLEY AVE STE 370
DALLAS, TX 75203
Dallas County (214) 358-2300
ERIN COOK APRN
Nurse Practitioner
1411 N BECKLEY AVE STE 370
DALLAS, TX 75203
Dallas County (214) 358-2300

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 So Myung Park's NPI number?

The NPI number for So Myung Park is 1659951788. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is So Myung Park located?

So Myung Park practices at 1411 N Beckley Ave Ste 370, Dallas, TX 75203. The listed phone number is (214) 366-6460.

What is So Myung Park's specialty?

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

Is So Myung Park enrolled in Medicare?

Yes. So Myung 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 organization bills Medicare for So Myung Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), So Myung Park reassigns Medicare benefits to Dallas Nephrology Associates (Dallas, TX). 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 So Myung Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does So Myung Park accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list So Myung 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 So Myung Park was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.