KWANG-SOO PARK MD
NPI 1689635880
Psychiatry & Neurology - Psychiatry in Colorado Springs, CO
About Kwang-soo Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KWANG-SOO PARK MD (NPI 1689635880) is an individual psychiatry provider in Colorado Springs, Colorado, licensed in Colorado (0060675) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted 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
Kwang-soo 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.
Medicare Billing Reassignment
Medicare enrollment records show Kwang-soo Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80906
- Reassigned Medicare billing, Colorado enrollment
- 400 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLORADO SPRINGS, CO 80923
COLORADO SPRINGS, CO 80923
COLORADO SPRINGS, CO 80923
COLORADO SPRINGS, CO 80923
COLORADO SPRINGS, CO 80923
COLORADO SPRINGS, CO 80923
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 Kwang-soo Park's NPI number?
The NPI number for Kwang-soo Park is 1689635880. It was assigned to this individual provider in the NPPES registry on March 29, 2006.
Where is Kwang-soo Park located?
Kwang-soo Park practices at 6915 Tutt Blvd Ste 110B, Colorado Springs, CO 80923. The listed phone number is (719) 445-1292.
What is Kwang-soo Park's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kwang-soo Park enrolled in Medicare?
Yes. Kwang-soo 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 Kwang-soo Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kwang-soo Park reassigns Medicare benefits to Family Care Center, LLC (Colorado Springs, CO). 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 Kwang-soo Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kwang-soo Park accept?
Health plans from Select Health list Kwang-soo 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 Kwang-soo Park was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kwang-Soo Park, MD · NPI 1689635880
Psychiatry physician in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since March 29, 2006.
## Identity
- **NPI:** 1689635880 (Entity type: Individual)
- **Enumerated:** March 29, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 0060675 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 6915 TUTT BLVD STE 110B, Colorado Springs, CO 80923
- **Phone:** (719) 445-1292 · **Fax:** (719) 591-6486
## 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:** Family Care Center, LLC (NPI 1790141984, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** July 30, 2018
- **Other identifiers:** Medicaid 1840930000 (WV); Medicaid 2334978 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1689635880) · Data from the CMS NPPES public registry.