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DR. MATTHEW V. PARK M.D.
NPI 1699875716
Pediatrics - Pediatric Cardiology in Tacoma, WA

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
603 S J ST STE 102, TACOMA, WA 98405(253) 396-4868(253) 396-4870 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2022, Oct 12, 2022 (2 updates tracked since 2022).

About Dr. Matthew V. Park M.d. NPPES

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

DR. MATTHEW V. PARK M.D. (NPI 1699875716) is an individual pediatric cardiology provider in Tacoma, Washington, licensed in Washington (MD 00049264) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2002).

NPPES Registry Identity

NPI1699875716
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. MATTHEW V. PARKCredential: M.D.
Location Address603 S J ST STE 102Tacoma, WA 98405-4100
Mailing Address603 S J St Ste 102Tacoma, WA 98405-4100 · (253) 396-4868 · Fax (253) 396-4870
Phone(253) 396-4868
Fax(253) 396-4870
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2002
Enumeration DateSeptember 25, 2006
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1699875716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in WA · MD 00049264✔ Licensed in WI · 48231
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
603 S J ST STE 102, Tacoma, WA 98405
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Other Identifiers 1

Medicaid1092505WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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. Matthew V. 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 ID9335173335
PECOS Enrollment IDI20080414000550
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 4

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

MS. JENNIE MICHELLE ALLEN-RICH MD
Pediatrics (Pediatric Cardiology)
603 S J ST STE 102
TACOMA, WA 98405
Pierce County (253) 396-4868
DR. JOHN PATRICK MCCLOSKEY MD
Pediatrics
603 S J ST STE 102
TACOMA, WA 98405
Pierce County (253) 396-4868
DR. RAKESH ROSHAN D'SOUZA M.D
Pediatrics (Pediatric Cardiology)
603 S J ST STE 102
TACOMA, WA 98405
Pierce County (253) 396-4868
DR. NEFTHI SANDEEP M.D.
Pediatrics (Pediatric Cardiology)
603 S J ST STE 102
TACOMA, WA 98405
Pierce County (253) 396-4868

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 Matthew Park's NPI number?

The NPI number for Matthew Park is 1699875716. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Matthew Park located?

Matthew Park practices at 603 S J St Ste 102, Tacoma, WA 98405. The listed phone number is (253) 396-4868.

What is Matthew Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Matthew Park enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Park accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Matthew 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 Matthew Park was last updated on October 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.