KATHLEEN J PARK MD
NPI 1790709582
Pediatrics - Adolescent Medicine in Seattle, WA
About Kathleen J Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN J PARK MD (NPI 1790709582) is an individual adolescent medicine provider in Seattle, Washington, licensed in Washington (MD00040435) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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)
Kathleen J Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 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.
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.
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 Kathleen Park's NPI number?
The NPI number for Kathleen Park is 1790709582. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Kathleen Park located?
Kathleen Park practices at 1100 9th Ave, Seattle, WA 98101. The listed phone number is (206) 223-6600.
What is Kathleen Park's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Kathleen Park enrolled in Medicare?
Yes. Kathleen Park is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Park reassigns Medicare benefits to 2 organizations: Association Of Chmc And University Physicians (Seattle, WA) and Seattle Children's Hospital (Seattle, WA). 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 Kathleen Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Park accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kathleen 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 Kathleen Park was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kathleen J Park, MD · NPI 1790709582
Adolescent Medicine physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1790709582 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** MD00040435 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 9TH AVE, Seattle, WA 98101-2756
- **Phone:** (206) 223-6600
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Association Of Chmc And University Physicians (NPI 1215153671, Seattle, WA); Seattle Children's Hospital (NPI 1003319500, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2008
- **Other identifiers:** Other US7466375 (WA); Medicare UPIN H63287; Medicaid 8321358 (WA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790709582) · Data from the CMS NPPES public registry.