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DR. TAE SHIK PARK M.D.
NPI 1689015562
Internal Medicine - Interventional Cardiology in Richmond, VA

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
1250 E MARSHALL ST, RICHMOND, VA 23298(804) 828-9989(804) 828-3544 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2024, Aug 23, 2016 (2 updates tracked since 2016).

About Dr. Tae Shik Park M.d. NPPES

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

DR. TAE SHIK PARK M.D. (NPI 1689015562) is an individual interventional cardiology provider in Richmond, Virginia, licensed in Virginia (0101259642) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Virginia Commonwealth University, School Of Medicine (2025).

NPPES Registry Identity

NPI1689015562
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. TAE SHIK PARKCredential: M.D.
Location Address1250 E MARSHALL STRichmond, VA 23298-5023
Mailing Address8100 Ashton Ave Ste 200Manassas, VA 20109-5688 · (572) 581-1771 · Fax (571) 581-1772
Phone(804) 828-9989
Fax(804) 828-3544
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2025
Enumeration DateJuly 8, 2013
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1689015562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in VA · 0101259642
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1250 E MARSHALL ST, Richmond, VA 23298
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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 and accepts Medicare assignment

Dr. Tae Shik 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 ID3577841261
PECOS Enrollment IDI20161101000472, I20260323000013
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 Tae Shik Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carient Heart & Vascular, LLC
86 mi
Cardiovascular Disease
8100 ASHTON AVE STE 200
Manassas, VA 20109
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 41 clinicians in this Medicare group
NPI 1669982526 (703) 335-8750

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

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

NEVIN YILMAZ MD
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 828-9783
MS. RENEE D SEAMAN NP
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-3144
DR. AIMEE COLLINS MD
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-3144
MRS. MARY ELIZABETH O'BOYLE WILLIS FNP
Nurse Practitioner (Family)
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298
Richmond City (804) 628-0189
DR. AMY SAMANTHA MAY PAUL M.D.
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Richmond City (804) 254-3500
MRS. ERICA STOREY CLINE PA-C
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Richmond City (804) 828-0996
CYNTHIA CHENAULT AGACNP
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 628-3646
DR. TAYLOR LATIA ROACH MD
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Richmond City (804) 628-7497

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 Tae Shik Park's NPI number?

The NPI number for Tae Shik Park is 1689015562. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Tae Shik Park located?

Tae Shik Park practices at 1250 E Marshall St, Richmond, VA 23298. The listed phone number is (804) 828-9989.

What is Tae Shik Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Tae Shik Park enrolled in Medicare?

Yes. Tae Shik 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 Tae Shik Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae Shik Park reassigns Medicare benefits to Carient Heart & Vascular, LLC (Manassas, VA). 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 Tae Shik Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tae Shik Park affiliated with any hospitals?

According to CMS data, Tae Shik Park is affiliated with Medical College Of Virginia Hospitals and Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Tae Shik Park was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.