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DR. JI SEOK PARK MD
NPI 1669994935
Internal Medicine in Cleveland, OH

Active since July 08, 2017PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE A51, CLEVELAND, OH 44193(216) 219-3551 Get Directions Write a Review

NPPES record last updated: September 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2020, Jul 8, 2017 (2 updates tracked since 2017).

About Dr. Ji Seok Park Md NPPES

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

DR. JI SEOK PARK MD (NPI 1669994935) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.138824) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669994935
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JI SEOK PARKCredential: MD
Location Address9500 EUCLID AVE A51Cleveland, OH 44193-1913
Mailing Address9500 Euclid Ave A51Cleveland, OH 44193-1913 · (216) 219-3551
Phone(216) 219-3551
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2017
Last NPPES UpdateSeptember 26, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2020
✔ NPI 1669994935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.138824
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9500 EUCLID AVE A51, Cleveland, OH 44193
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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 and accepts Medicare assignment

Dr. Ji Seok Park Md 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 ID6507287877
PECOS Enrollment IDI20201218002077
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.
35 services32 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44193 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
21 suppliers340 claims5,380 services$10.44 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix B4189
Other-Enteral and Parenteral · category OB005N
1 supplier46 claims320 services$178.10 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
4 suppliers72 claims499 services$229.41 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
17 suppliers185 claims1,187 services$279.87 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
11 suppliers144 claims840 services$319.93 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
22 suppliers426 claims2,749 services$8.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ji Seok Park's NPI number?

The NPI number for Ji Seok Park is 1669994935. It was assigned to this individual provider in the NPPES registry on July 8, 2017.

Where is Ji Seok Park located?

Ji Seok Park practices at 9500 Euclid Ave A51, Cleveland, OH 44193. The listed phone number is (216) 219-3551.

What is Ji Seok Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ji Seok Park enrolled in Medicare?

Yes. Ji Seok 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.

Is Ji Seok Park affiliated with any hospitals?

According to CMS data, Ji Seok Park is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Ji Seok Park was last updated on September 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.