SUN J PARK MD
NPI 1811914484
Internal Medicine in Clackamas, OR
About Sun J Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUN J PARK MD (NPI 1811914484) is an individual internal medicine provider in Clackamas, Oregon, licensed in Oregon (MD24792) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Legacy Meridian Park Medical Center, and is a graduate of Rush Medical College Of Rush University (1995).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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
Sun J 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.
Medicare Billing Reassignments
4Medicare enrollment records show Sun Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85016
- Reassigned Medicare billing, Oregon enrollment
- 70 clinicians in this Medicare group
Gresham, OR 97030
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1184786527 (Washington)
- 3,207 clinicians in this Medicare group
Sandy, OR 97055
- Reassigned Medicare billing, Oregon enrollment
- 1,248 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 915 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 2
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORKaiser Foundation Hospital Westside
Acute Care Hospitals · Hillsboro, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Sun Park's NPI number?
The NPI number for Sun Park is 1811914484. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Sunny J Park.
Where is Sun Park located?
Sun Park practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.
What is Sun Park's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sun Park enrolled in Medicare?
Yes. Sun 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 Sun Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sun Park reassigns Medicare benefits to 4 organizations: Apogee Medical Group PC (Phoenix, AZ), Sapphire At Gresham Rehab, LLC (Gresham, OR), Legacy Clinics LLC (Sandy, OR) and South Sound Inpatient Physicians PLLC (Vancouver, 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 Sun Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sun Park affiliated with any hospitals?
According to CMS data, Sun Park is affiliated with Legacy Meridian Park Medical Center and Kaiser Foundation Hospital Westside.
When was this NPI record last updated?
The NPPES record for Sun Park was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Sun J Park, MD · NPI 1811914484
Internal Medicine physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1811914484 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD24792 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10180 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (800) 813-2000
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Apogee Medical Group PC (NPI 1558302174, Phoenix, AZ); Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR); Legacy Clinics LLC (NPI 1730472192, Sandy, OR); South Sound Inpatient Physicians PLLC (NPI 1023285756, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 1995
## Record status
- **NPPES last updated:** September 12, 2025
- **Other identifiers:** Other P00234134 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1811914484) · Data from the CMS NPPES public registry.