HIROMICHI S PARK DO
NPI 1700313053
Internal Medicine - Infectious Disease in Las Vegas, NV
About Hiromichi S Park Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIROMICHI S PARK DO (NPI 1700313053) is an individual infectious disease provider in Las Vegas, Nevada, licensed in Nevada (DO3259) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and maintains a secondary practice location in Las Vegas.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Hiromichi S Park Do 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 Hiromichi Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Vegas, NV 89169
- Reassigned Medicare billing, Nevada enrollment
- 8 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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sunrise Hospital And Medical Center
Acute Care Hospitals · Las Vegas, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89169
LAS VEGAS, NV 89169
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 Hiromichi Park's NPI number?
The NPI number for Hiromichi Park is 1700313053. It was assigned to this individual provider in the NPPES registry on May 17, 2017.
Where is Hiromichi Park located?
Hiromichi Park practices at 3483 S Eastern Ave, Las Vegas, NV 89169. The listed phone number is (702) 309-2311.
What is Hiromichi Park's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Hiromichi Park enrolled in Medicare?
Yes. Hiromichi 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 Hiromichi Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiromichi Park reassigns Medicare benefits to Ronald A Shockley MD A Professional Corporation (Las Vegas, NV). 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 Hiromichi Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Hiromichi Park affiliated with any hospitals?
According to CMS data, Hiromichi Park is affiliated with Sunrise Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Hiromichi Park was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Hiromichi S Park, DO · NPI 1700313053
Infectious Disease physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since May 17, 2017.
## Identity
- **NPI:** 1700313053 (Entity type: Individual)
- **Enumerated:** May 17, 2017
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** DO3259 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 3483 S EASTERN AVE, Las Vegas, NV 89169-3314
- **Phone:** (702) 309-2311 · **Fax:** (702) 309-2177
## 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:** Ronald A Shockley MD A Professional Corporation (NPI 1861539652, Las Vegas, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2017
## Record status
- **NPPES last updated:** December 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1700313053) · Data from the CMS NPPES public registry.