SOON JOHN PARK M.D.
NPI 1891716544
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Albany, NY

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
319 S MANNING BLVD STE 110A, ALBANY, NY 12208(518) 525-2525 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, May 9, 2022, Feb 22, 2022 and 2 more (5 updates tracked since 2018).

About Soon John Park M.d. NPPES

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

SOON JOHN PARK M.D. (NPI 1891716544) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Albany, New York, licensed in New York (294105) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891716544
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameSOON JOHN PARKCredential: M.D.
Location Address319 S MANNING BLVD STE 110AAlbany, NY 12208-1743
Mailing AddressPo Box 14890Albany, NY 12212-4890
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1987
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 20, 20225 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1891716544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in NY · 294105
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
319 S MANNING BLVD STE 110A, Albany, NY 12208

Secondary Practice Locations 2

Location 17255 Old Oak Blvd Ste B-311Cleveland, OH 44130-3329 · Phone (440) 816-2638
Location 21735 Route 9Halfmoon, NY 12065-2421 · Phone (518) 525-2525

Other Identifiers 1

Medicaid609723500MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Soon John Park M.d. 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 ID446152136
PECOS Enrollment IDI20181005002111
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.

Areas of Expertise CMS Part B claims 9

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.

Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
35 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
28 services28 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
28 services28 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
319 S MANNING BLVD STE 110A
ALBANY, NY 12208
Internal Medicine (Interventional Cardiology)
319 S MANNING BLVD STE 110A
ALBANY, NY 12208
Thoracic Surgery (Cardiothoracic Vascular Surgery)
319 S MANNING BLVD STE 110A
ALBANY, NY 12208
Thoracic Surgery (Cardiothoracic Vascular Surgery)
319 S MANNING BLVD STE 110A
ALBANY, NY 12208

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 Soon Park's NPI number?

The NPI number for Soon Park is 1891716544. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Soon Park located?

Soon Park practices at 319 S Manning Blvd Ste 110A, Albany, NY 12208. The listed phone number is (518) 525-2525.

What is Soon Park's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Soon Park enrolled in Medicare?

Yes. Soon 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.

Is Soon Park affiliated with any hospitals?

According to CMS data, Soon Park is affiliated with Albany Medical Center Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Soon Park was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.