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AMANDA PARK M.D.
NPI 1780032482
Anesthesiology in Chicago, IL

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
3134 N CLARK ST, CHICAGO, IL 60657(773) 766-4949(312) 766-4908 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Park M.d. NPPES

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

AMANDA PARK M.D. (NPI 1780032482) is an individual anesthesiology provider in Chicago, Illinois, licensed in Illinois (036-158292) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1780032482
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameAMANDA PARKCredential: M.D.
Location Address3134 N CLARK STChicago, IL 60657-4414
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(773) 766-4949
Fax(312) 766-4908
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1780032482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in IL · 036-158292✔ Licensed in CT · 66631
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3134 N CLARK ST, Chicago, IL 60657
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 Cedar St # Street3, YNHH- Dept AnesthesiologyNew Haven, CT 06510-3206 · Phone (203) 785-2802

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

Amanda 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.

PECOS PAC ID2668766478
PECOS Enrollment IDI20211015001291
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Board Of Trustees Of The University Of Illinois
0.7 mi
Primary Care
3656 N HALSTED ST
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1588815401 (734) 726-4697
Advocate Health And Hospitals Corp.
1.0 mi
Cardiovascular Disease
3118 N ASHLAND AVE
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1487951711 (773) 880-9722

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

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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. SORIN C DANCIU M.D.
Internal Medicine (Cardiovascular Disease)
3134 N CLARK ST
CHICAGO, IL 60657
Cook County (773) 880-9722
MRS. GLOWEN JANICA GOROSPE MEI MSN, APRN, ACNPC-AG
Nurse Practitioner
3134 N CLARK ST
CHICAGO, IL 60657
Cook County (312) 766-4949
CHRISTOPHER YAO
Internal Medicine
3134 N CLARK ST
CHICAGO, IL 60657
Cook County (312) 766-4949
PEDRO ANDRES GONZALEZ MARTINEZ MD
Internal Medicine (Cardiovascular Disease)
3134 N CLARK ST
CHICAGO, IL 60657
Cook County (312) 766-4949
LUBNA HANIF MD
Internal Medicine
3134 N CLARK ST
CHICAGO, IL 60657
Cook County (312) 766-4949
ABAAN MERCHANT
Internal Medicine
3134 N CLARK ST
CHICAGO, IL 60657
Cook County (312) 766-4949
GUILLERMO REYES MARTINEZ MD
Internal Medicine
3134 N CLARK ST
CHICAGO, IL 60657
Cook County (312) 766-4949
SEULGI GU MD
Internal Medicine
3134 N CLARK ST
CHICAGO, IL 60657
Cook County (312) 766-4949

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 Amanda Park's NPI number?

The NPI number for Amanda Park is 1780032482. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Amanda Park located?

Amanda Park practices at 3134 N Clark St, Chicago, IL 60657. The listed phone number is (773) 766-4949.

What is Amanda Park's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Amanda Park enrolled in Medicare?

Yes. Amanda 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 organizations bill Medicare for Amanda Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Park reassigns Medicare benefits to 2 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL) and Advocate Health And Hospitals Corp. (Chicago, IL). 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 Amanda Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amanda Park affiliated with any hospitals?

According to CMS data, Amanda Park is affiliated with Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Park was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.