DR. WONJAE PARK DO
NPI 1871288860
Emergency Medicine in Greenville, NC
About Dr. Wonjae Park Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WONJAE PARK DO (NPI 1871288860) is an individual emergency medicine provider in Greenville, North Carolina, licensed in North Carolina (2025-00341) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Ecu Health North Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted 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
Dr. Wonjae Park Do 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 Reassignment
Medicare enrollment records show Wonjae Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ecu Health North Hospital
Acute Care Hospitals · Roanoke Rapids, NCEcu Health Bertie Hospital
Critical Access Hospitals · Windsor, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27834 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.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
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 Wonjae Park's NPI number?
The NPI number for Wonjae Park is 1871288860. It was assigned to this individual provider in the NPPES registry on April 6, 2023.
Where is Wonjae Park located?
Wonjae Park practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 847-4100.
What is Wonjae Park's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Wonjae Park enrolled in Medicare?
Yes. Wonjae 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 Wonjae Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wonjae Park reassigns Medicare benefits to Vidant Medical Group LLC (Greenville, NC). 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 Wonjae Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wonjae Park accept?
Health plans from Cigna Healthcare list Wonjae 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 Wonjae Park affiliated with any hospitals?
According to CMS data, Wonjae Park is affiliated with Ecu Health North Hospital and Ecu Health Bertie Hospital.
When was this NPI record last updated?
The NPPES record for Wonjae Park was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Wonjae Park, DO · NPI 1871288860
Emergency Medicine physician in Greenville, North Carolina. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1871288860 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2025-00341 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 STANTONSBURG RD, Greenville, NC 27834-2818
- **Phone:** (252) 847-4100
## 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:** Vidant Medical Group LLC (NPI 1477648731, Greenville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2023
## Record status
- **NPPES last updated:** March 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871288860) · Data from the CMS NPPES public registry.