BENJAMIN ROSS PARK D.O.
NPI 1770922676
Radiology - Diagnostic Radiology in Bothell, WA
About Benjamin Ross Park D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN ROSS PARK D.O. (NPI 1770922676) is an individual diagnostic radiology provider in Bothell, Washington, licensed in Colorado (DR.0061359) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and maintains a secondary practice location in Lubbock.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Ross Park D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
39Medicare enrollment records show Benjamin Park reassigns Medicare billing to 39 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bothell, WA 98021
- Reassigned Medicare billing, Colorado enrollment
- 6 clinicians in this Medicare group
Corvallis, OR 97330
- Reassigned Medicare billing, Colorado enrollment
- 5 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Colorado enrollment
- 6 clinicians in this Medicare group
Oroville, CA 95966
- Reassigned Medicare billing, Colorado enrollment
- 12 clinicians in this Medicare group
Carson City, NV 89706
- Reassigned Medicare billing, Colorado enrollment
- 4 clinicians in this Medicare group
Napa, CA 94558
- Reassigned Medicare billing, Colorado enrollment
- 5 clinicians in this Medicare group
Billings, MT 59101
- Reassigned Medicare billing, Colorado enrollment
- 5 clinicians in this Medicare group
Stockton, CA 95204
- Reassigned Medicare billing, California enrollment
- 28 clinicians in this Medicare group
Sonora, CA 95370
- Reassigned Medicare billing, Colorado enrollment
- 11 clinicians in this Medicare group
Murray, UT 84107
- Reassigned Medicare billing, Colorado enrollment
- 27 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 34
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Columbus Regional Hospital
Acute Care Hospitals · Columbus, INConcord Hospital- Laconia
Acute Care Hospitals · Laconia, NHCentra Health - Lynchburg Gen Hospital
Acute Care Hospitals · Lynchburg, VACarilion Medical Center
Acute Care Hospitals · Roanoke, VACarilion New River Valley Medical Center
Acute Care Hospitals · Christiansburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98021 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOTHELL, WA 98021
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 Benjamin Park's NPI number?
The NPI number for Benjamin Park is 1770922676. It was assigned to this individual provider in the NPPES registry on June 24, 2013.
Where is Benjamin Park located?
Benjamin Park practices at 22100 Bothell Everett Hwy, Bothell, WA 98021. The listed phone number is (208) 416-2932.
What is Benjamin Park's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Benjamin Park enrolled in Medicare?
Yes. Benjamin Park is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Benjamin Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Park reassigns Medicare benefits to 39 organizations: Direct Radiology PLLC (Bothell, WA), Corvallis Radiology PC (Corvallis, OR), Cmsc, LLC (Great Falls, MT), Oroville Hospital (Oroville, CA), Tahoe Carson Radiology Loos Et Al Ltd (Carson City, NV) and 34 more organizations, listed in the Medicare section above. Each 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 Benjamin Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Park accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 15 other insurers list Benjamin 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.
Is Benjamin Park affiliated with any hospitals?
According to CMS data, Benjamin Park is affiliated with Columbus Regional Hospital, Concord Hospital- Laconia, Centra Health - Lynchburg Gen Hospital, Carilion Medical Center and Carilion New River Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Benjamin Park was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Benjamin Ross Park, D.O. · NPI 1770922676
Diagnostic Radiology physician in Bothell, Washington. Individual provider, active in the CMS NPPES registry since June 24, 2013.
## Identity
- **NPI:** 1770922676 (Entity type: Individual)
- **Enumerated:** June 24, 2013
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** DR.0061359 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 22100 BOTHELL EVERETT HWY, Bothell, WA 98021-8431
- **Phone:** (208) 416-2932
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 39 organizations under Medicare reassignment (form CMS-855R): Direct Radiology PLLC (NPI 1144572173, Bothell, WA); Corvallis Radiology PC (NPI 1881651289, Corvallis, OR); Cmsc, LLC (NPI 1639109978, Great Falls, MT); Oroville Hospital (NPI 1710372909, Oroville, CA); Tahoe Carson Radiology Loos Et Al Ltd (NPI 1902838352, Carson City, NV); and 34 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2013
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770922676) · Data from the CMS NPPES public registry.