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THOMAS PARK M.D. PC
NPI 1881904605
Preferred Provider Organization in Southfield, MI

Active since October 14, 2010
23077 GREENFIELD RD, SUITE 257, SOUTHFIELD, MI 48075(248) 552-0044(248) 423-7777 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Park M.d. Pc NPPES

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

THOMAS PARK M.D. PC (NPI 1881904605) is a healthcare organization registered as a preferred provider organization in Southfield, Michigan and active in the NPI registry since October 2010. The organization lists Thomas T Park, President, as its authorized official.

NPPES Registry Identity

NPI1881904605
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameTHOMAS PARK M.D. PC
Location Address23077 GREENFIELD RD, SUITE 257Southfield, MI 48075-3709
Mailing Address23077 Greenfield Rd, Suite 257Southfield, MI 48075-3709 · (248) 552-0044 · Fax (248) 423-7777
Phone(248) 552-0044
Fax(248) 423-7777
Organization SubpartNo
Authorized OfficialThomas T ParkPresident · (248) 552-0044
Enumeration DateOctober 14, 2010
✔ NPI 1881904605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MI · 4301040933
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
23077 GREENFIELD RD, Southfield, MI 48075
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Other Identifiers 1

Medicare UPINB42982MI

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Park M.d. Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Thomas Park M.D. PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker4
Clinical Psychologist2
Nurse Practitioner2
Psychiatry2

Clinicians, nearest first (10)

Gasper Novara, LMSW
Clinical Social Worker
NPI 1063880359
23077 GREENFIELD RD #430
Southfield, MI 48075
(248) 552-0066
✔ PECOS✔ Accepts MedicareSame address
Christy Monaghan, MSW
Clinical Social Worker
NPI 1053828491
23560 REPUBLIC AVE
Oak Park, MI 48237
(248) 398-4660
✔ PECOS2.4 mi
Samuel Hobbs, LMSW
Clinical Social Worker
NPI 1346622701
334 E DRAYTON ST
Ferndale, MI 48220
(248) 688-2649
✔ PECOS✔ Accepts Medicare3.4 mi
Duren Gutierrez, PMHNP
Nurse Practitioner
NPI 1598003915
22170 W 9 MILE RD
Southfield, MI 48033
(248) 372-6800
✔ PECOS✔ Accepts Medicare5.2 mi
Janice Wright
Clinical Social Worker
NPI 1972775179
28119 GRAND DUKE DR
Farmington Hills, MI 48334
(248) 476-2229
✔ PECOS✔ Accepts Medicare6.6 mi
Raymond Small, PH.D.
Clinical Psychologist
NPI 1841413598
7310 WOODWARD AVE
Detroit, MI 48202
(313) 896-1444
✔ PECOS✔ Accepts Medicare9.1 mi
Alicia Tisdale, PHD
Clinical Psychologist
NPI 1083622914
5101 WILLOW POND DRIVE
West Bloomfield, MI 48323
(248) 974-1783
✔ PECOS✔ Accepts Medicare13 mi
Patricia Milner, D.O.
Psychiatry
NPI 1447541602
13101 ALLEN RD
Southgate, MI 48195
(734) 785-7774
✔ PECOS✔ Accepts Medicare17 mi
Oksana Lidke
Nurse Practitioner
NPI 1427512425
395 S SHORE DR
Battle Creek, MI 49014
(947) 217-3212
✔ PECOS✔ Accepts Medicare102 mi
Thomas Park, M.D.
Psychiatry
NPI 1629169412
23077 GREENFIELD #430
Southfield, MI 48075
(248) 552-0044
✔ PECOS

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

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 Thomas Park M.D. PC's NPI number?

The NPI number for Thomas Park M.D. PC is 1881904605. It was assigned to this organization in the NPPES registry on October 14, 2010.

Where is Thomas Park M.D. PC located?

Thomas Park M.D. PC is located at 23077 Greenfield Rd Suite 257, Southfield, MI 48075. The listed phone number is (248) 552-0044.

What is Thomas Park M.D. PC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Thomas Park M.D. PC enrolled in Medicare?

Yes. Thomas Park M.D. PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thomas Park M.D. PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Thomas Park M.D. PC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (4), Clinical Psychologist (2) and Nurse Practitioner (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Thomas Park M.D. PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Thomas Park M.D. PC 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 Thomas Park M.D. PC was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.