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JEE HA PARK MD
NPI 1801425921
Anesthesiology in Commerce Township, MI

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
1990 UNION LAKE RD STE 350, COMMERCE TOWNSHIP, MI 48382(248) 301-5898 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2026, Sep 11, 2025, Apr 2, 2020 (3 updates tracked since 2020).

About Jee Ha Park Md NPPES

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

JEE HA PARK MD (NPI 1801425921) is an individual anesthesiology provider in Commerce Township, Michigan, licensed in Michigan (4301513305) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801425921
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJEE HA PARKCredential: MD
Location Address1990 UNION LAKE RD STE 350Commerce Township, MI 48382-2288
Mailing Address1990 Union Lake Rd Ste 350Commerce Township, MI 48382-2288
Phone(248) 301-5898
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 2, 2020
Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1801425921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MI · 4301513305
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.
1990 UNION LAKE RD STE 350, Commerce Township, MI 48382
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Other Names 1

Other Name (5)Jee Ha Park Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Jee Ha Park Md 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 ID7012338684
PECOS Enrollment IDI20250722000163
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 Reassignment

Medicare enrollment records show Jee Ha Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Services Associates, PC
32 mi
Anesthesiology
1375 N MAIN ST
Lapeer, MI 48446
  • Reassigned Medicare billing, Michigan enrollment
  • 145 clinicians in this Medicare group
NPI 1497797153 (248) 301-5989

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN DAVID GEZON DO
Student in an Organized Health Care Education/Training Program
1990 UNION LAKE RD STE 350
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 301-5898
DR. TYLER JOSEPH HILL DO
Anesthesiology
1990 UNION LAKE RD STE 350
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 301-5898
HUSSEIN FARDOUS M.D.
Anesthesiology
1990 UNION LAKE RD STE 350
COMMERCE TWP, MI 48382
Oakland County (248) 301-5898

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 Jee Ha Park's NPI number?

The NPI number for Jee Ha Park is 1801425921. It was assigned to this individual provider in the NPPES registry on April 2, 2020. The provider is also known as Jee Ha Park MD.

Where is Jee Ha Park located?

Jee Ha Park practices at 1990 Union Lake Rd Ste 350, Commerce Township, MI 48382. The listed phone number is (248) 301-5898.

What is Jee Ha Park's specialty?

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

Is Jee Ha Park enrolled in Medicare?

Yes. Jee Ha 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 Jee Ha Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jee Ha Park reassigns Medicare benefits to Anesthesia Services Associates, PC (Lapeer, MI). 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 Jee Ha Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jee Ha Park accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jee Ha 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 Jee Ha Park affiliated with any hospitals?

According to CMS data, Jee Ha Park is affiliated with Mclaren Flint and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Jee Ha Park was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.