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KEON MIN PARK M.D.
NPI 1902337793
Plastic Surgery in San Francisco, CA

Active since March 23, 2017PECOS Enrolled
513 PARNASSUS AVENUE, S-321, UCSF - DEPARTMENT OF SURGERY, SAN FRANCISCO, CA 93132(415) 476-1239 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 27, 2019, Mar 23, 2017 (2 updates tracked since 2017).

About Keon Min Park M.d. NPPES

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

KEON MIN PARK M.D. (NPI 1902337793) is an individual plastic surgery provider in San Francisco, California, licensed in California (A160755) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902337793
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameKEON MIN PARKCredential: M.D.
Location Address513 PARNASSUS AVENUE, S-321, UCSF - DEPARTMENT OF SURGERYSan Francisco, CA 93132-0470
Mailing Address513 Parnassus Avenue, S-321, Ucsf - Department Of SurgerySan Francisco, CA 93132-0470 · (415) 476-1239
Phone(415) 476-1239
Sole ProprietorNo
Enumeration DateMarch 23, 2017
Last NPPES UpdateFebruary 27, 20192 updates tracked since enumeration
✔ NPI 1902337793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A160755
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
513 PARNASSUS AVENUE, S-321, San Francisco, CA 93132
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Keon Min Park reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucsf Medical Group Business Services
Same address
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
University Of California San Francisco
Same address
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1164512851 (415) 476-1000
Ucsf Dept Of Surgery
0.1 mi
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
NPI 1477627537 (415) 353-2161
Permanente Medical Group Inc
1.7 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200
University Of California Sfgh Medical Group
3.0 mi
Vascular Surgery
1001 POTRERO AVE RM 3A
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 87 clinicians in this Medicare group
NPI 1033913959 (628) 206-8265

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 Keon Min Park's NPI number?

The NPI number for Keon Min Park is 1902337793. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Keon Min Park located?

Keon Min Park practices at 513 Parnassus Avenue, S-321 Ucsf - Department Of Surgery, San Francisco, CA 93132. The listed phone number is (415) 476-1239.

What is Keon Min Park's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Keon Min Park enrolled in Medicare?

Yes. Keon Min Park is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keon Min Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keon Min Park reassigns Medicare benefits to 5 organizations: Ucsf Medical Group Business Services (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA), Permanente Medical Group Inc (San Francisco, CA) and University Of California Sfgh Medical Group (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 Keon Min 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 Keon Min Park was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.