DR. TONY J PARK M.D.
NPI 1760707608
Family Medicine in Denver, CO
About Dr. Tony J Park M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TONY J PARK M.D. (NPI 1760707608) is an individual family medicine provider in Denver, Colorado, licensed in Colorado (DR.0052360) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Dr. Tony J 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.
Medicare Billing Reassignment
Medicare enrollment records show Tony Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DENVER, CO 80205
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 Tony Park's NPI number?
The NPI number for Tony Park is 1760707608. It was assigned to this individual provider in the NPPES registry on April 4, 2010.
Where is Tony Park located?
Tony Park practices at 1375 E 20th Ave, Denver, CO 80205. The listed phone number is (303) 338-4545.
What is Tony Park's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tony Park enrolled in Medicare?
Yes. Tony 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 Tony Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tony Park reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). 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 Tony Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tony Park accept?
Health plans from Kaiser Permanente list Tony 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 Tony Park was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Tony J Park, M.D. · NPI 1760707608
Family Medicine physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since April 4, 2010.
## Identity
- **NPI:** 1760707608 (Entity type: Individual)
- **Enumerated:** April 4, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DR.0052360 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1375 E 20TH AVE, Denver, CO 80205-5422
- **Phone:** (303) 338-4545
## 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:** Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2010
## Record status
- **NPPES last updated:** February 4, 2022
- **Other identifiers:** Other 023782 (CO); Medicaid 20021771 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1760707608) · Data from the CMS NPPES public registry.