JEA YOUNG PARK
NPI 1831752864
Internal Medicine - Endocrinology, Diabetes & Metabolism in Derby, CT
About Jea Young Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEA YOUNG PARK (NPI 1831752864) is an individual endocrinology, diabetes & metabolism provider in Derby, Connecticut, licensed in California (A186360) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Jea Young Park 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 Jea Young Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94107
- Reassigned Medicare billing, California enrollment
- 1,573 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 2,112 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06418 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DERBY, CT 06418
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 Jea Young Park's NPI number?
The NPI number for Jea Young Park is 1831752864. It was assigned to this individual provider in the NPPES registry on April 16, 2019.
Where is Jea Young Park located?
Jea Young Park practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-7327.
What is Jea Young Park's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Jea Young Park enrolled in Medicare?
Yes. Jea Young 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 Jea Young Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jea Young Park reassigns Medicare benefits to 4 organizations: City & County Of San Francisco (San Francisco, CA), Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Jea Young Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jea Young Park was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jea Young Park · NPI 1831752864
Endocrinology, Diabetes & Metabolism physician in Derby, Connecticut. Individual provider, active in the CMS NPPES registry since April 16, 2019.
## Identity
- **NPI:** 1831752864 (Entity type: Individual)
- **Enumerated:** April 16, 2019
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** A186360 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 DIVISION ST, Derby, CT 06418-1326
- **Phone:** (203) 732-7327
## 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): City & County Of San Francisco (NPI 1568923894, San Francisco, CA); Regents Of The University Of California (NPI 1235322348, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831752864) · Data from the CMS NPPES public registry.