DR. EDWARD J PARK M.D
NPI 1891787008
Physical Medicine & Rehabilitation in Chicago, IL
About Dr. Edward J Park M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD J PARK M.D (NPI 1891787008) is an individual physical medicine & rehabilitation provider in Chicago, Illinois, licensed in Illinois (036-108857) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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 (PECOS)
Dr. Edward J Park M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edward Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
CHICAGO, IL 60608
CHICAGO, IL 60608
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 Edward Park's NPI number?
The NPI number for Edward Park is 1891787008. It was assigned to this individual provider in the NPPES registry on August 16, 2005.
Where is Edward Park located?
Edward Park practices at 1401 S California Ave, Chicago, IL 60608. The listed phone number is (773) 522-5120.
What is Edward Park's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Edward Park enrolled in Medicare?
Yes. Edward Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edward Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Park reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Edward 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 Edward Park was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.