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SUNGJIN PARK
NPI 1730546078
Physician Assistant in Dallas, TX

Active since January 18, 2016PECOS EnrolledAccepts Medicare Assignment
10400 N CENTRAL EXPY, DALLAS, TX 75231(972) 884-4400(972) 884-4401 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2019, Jan 18, 2016 (2 updates tracked since 2016).

About Sungjin Park NPPES

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

SUNGJIN PARK (NPI 1730546078) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA10351) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730546078
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSUNGJIN PARK
Location Address10400 N CENTRAL EXPYDallas, TX 75231-2297
Mailing Address10400 N Central ExpyDallas, TX 75231-2297 · (972) 884-4400 · Fax (972) 884-4401
Phone(972) 884-4400
Fax(972) 884-4401
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 18, 2016
Last NPPES UpdateJanuary 15, 20192 updates tracked since enumeration
✔ NPI 1730546078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in TX · PA10351✔ Licensed in TX · PATMP596408
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10400 N CENTRAL EXPY, Dallas, TX 75231
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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 and accepts Medicare assignment

Sungjin 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 ID7113223785
PECOS Enrollment IDI20160308000795
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. RENAUD P. RODRIGUE MD
Anesthesiology (Pain Medicine)
10400 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (469) 441-4484
FLOWER MOUND SLEEP CENTER LLP
Clinic/Center (Sleep Disorder Diagnostic)
10400 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (817) 581-6100
PARK CITIES SLEEP CENTER, LLP
Clinic/Center (Sleep Disorder Diagnostic)
10400 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (817) 581-6100
MEADOW MEDICAL SERVICES L.L.C
Clinic/Center (Magnetic Resonance Imaging (MRI))
10400 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (972) 884-4322
WEIGHT LOSS MANAGEMENT LLP
Clinic/Center (Multi-Specialty)
10400 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (817) 581-6100
MISI ASC DALLAS, LLC
Clinic/Center (Ambulatory Surgical)
10400 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (972) 884-4370
NORTH POINTE SLEEP CENTER, LLP
Clinic/Center (Sleep Disorder Diagnostic)
10400 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (214) 771-0117
CONCORD SURGICAL CARE, LLC
General Practice
10400 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (214) 771-0117

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 Sungjin Park's NPI number?

The NPI number for Sungjin Park is 1730546078. It was assigned to this individual provider in the NPPES registry on January 18, 2016.

Where is Sungjin Park located?

Sungjin Park practices at 10400 N Central Expy, Dallas, TX 75231. The listed phone number is (972) 884-4400.

What is Sungjin Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sungjin Park enrolled in Medicare?

Yes. Sungjin 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.

When was this NPI record last updated?

The NPPES record for Sungjin Park was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.