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RYAN PARK MD
NPI 1699663302
Student in an Organized Health Care Education/Training Program in Falls Church, VA

Active since June 24, 2025PECOS Enrolled
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-3582 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ryan Park Md NPPES

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

RYAN PARK MD (NPI 1699663302) is an individual student in an organized health care education/training program in Falls Church, Virginia and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699663302
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN PARKCredential: MD
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address3300 Gallows RdFalls Church, VA 22042-3307
Phone(703) 776-3582
Sole ProprietorNo
Enumeration DateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1699663302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3300 GALLOWS RD, Falls Church, VA 22042
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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 (PECOS)

Ryan Park Md 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.

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.

ALLISON ELIZABETH TWEEDIE MD
Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
DR. OLEG DOLGHI M.D
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
MRS. CHERYL ANNE FRASER NP
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4132
MISS CRYSTAL FALKE PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3281
EMERGENCY MEDICINE ASSOCIATES
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4002
NARGES NAJMYAR PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 970-2670
SARAH MARAKOS DO
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-6652
KARA STONE YOUNG CRNA
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001

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 Ryan Park's NPI number?

The NPI number for Ryan Park is 1699663302. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Ryan Park located?

Ryan Park practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-3582.

What is Ryan Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Park was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.