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JONGMI PARK
NPI 1700712692
Anesthesiologist Assistant in Washington, DC

Active since June 19, 2026Accepts Medicare Assignment
3800 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 444-2000 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jongmi Park NPPES

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

JONGMI PARK (NPI 1700712692) is an individual anesthesiologist assistant in Washington, District Of Columbia and active in the NPI registry since June 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1700712692
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameJONGMI PARK
Location Address3800 RESERVOIR RD NWWashington, DC 20007-2113
Mailing Address3800 Reservoir Rd NwWashington, DC 20007-2113
Phone(202) 444-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1700712692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
3800 RESERVOIR RD NW, Washington, DC 20007
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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

Jongmi Park 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 ID4981169463
PECOS Enrollment IDI20260724002904

Medicare Billing Reassignment

Medicare enrollment records show Jongmi Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstar Medical Group II LLC
Same address
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403

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

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.

DR. KAUSTUBH SUBHASH YADWADKAR M.D.
Radiology (Diagnostic Radiology)
3800 RESERVOIR RD NW, CG201
WASHINGTON, DC 20007
District of Columbia (304) 206-7595
FRED MO MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-8766
SEBLE YIRGA
Nurse Practitioner (Family)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-7265
ARLETTE THOMPSON-PILE
Physical Therapy Assistant
3800 RESERVOIR RD NW, PHYSICAL MEDICINE AND REHBAILITATION DEPARTMENT
WASHINGTON, DC 20007
District of Columbia (202) 444-3689
JENNA ELIZABETH HOROWITZ
Physician Assistant (Surgical)
3800 RESERVOIR RD NW, NEUROSURGERY DEPARTMENT
WASHINGTON, DC 20007
District of Columbia (202) 444-2000
HALEY SWANSON FOSTER M.D.
Radiology (Vascular & Interventional Radiology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-5022
CLAIRE DALBY MD
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-7106
MS. AMANDA JORDAN SUN PA-C
Physician Assistant
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (877) 772-6505

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 Jongmi Park's NPI number?

The NPI number for Jongmi Park is 1700712692. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Jongmi Park located?

Jongmi Park practices at 3800 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 444-2000.

What is Jongmi Park's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jongmi Park enrolled in Medicare?

Yes. Jongmi 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 Jongmi Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jongmi Park reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). 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 Jongmi Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jongmi Park was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.