DR. SUNGNAN PARK-DAVIS MD
NPI 1932291432
Internal Medicine - Adolescent Medicine in Novi, MI

Q: What is Sungnan Park-davis's NPI number?

The NPI number for Sungnan Park-davis is 1932291432. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Sungnan Park-davis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

30880 BECK RD, NOVI, MI 48377(248) 926-0009(248) 956-9198 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Jan 16, 2019 (2 updates tracked since 2019).

On this page

About Dr. Sungnan Park-davis Md NPPES

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

DR. SUNGNAN PARK-DAVIS MD (NPI 1932291432) is an individual adolescent medicine provider in Novi, Michigan, licensed in Michigan (4301076848) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and maintains a secondary practice location in West Bloomfield.

NPPES Registry Identity

NPI1932291432

Entity TypeIndividualFemale

Primary Taxonomy207RA0000X

Provider Legal NameDR. SUNGNAN PARK-DAVISCredential: MD

Location Address30880 BECK RDNovi, MI 48377-1000

Mailing Address30880 Beck RdNovi, MI 48377-1000 · (248) 926-0009 · Fax (248) 956-9198

Phone(248) 926-0009

Fax(248) 956-9198

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2000

Enumeration DateSeptember 29, 2006

Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1932291432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0000X

License✔ Licensed in MI · 4301076848

Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License 4301076848 (MI)

30880 BECK RD, Novi, MI 48377

Open in Google Maps ↗

Secondary Practice Location 1

Location 12300 Haggerty Rd Ste 2140West Bloomfield, MI 48323-2191 · Phone (248) 669-5050 · Fax (248) 669-1700

Other Identifiers 1

Medicaid4675192MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health, UnitedHealthcare.Insurance ›

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

Dr. Sungnan Park-davis Md 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 ID6608835475

PECOS Enrollment IDI20041007000224

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services39 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

21 services19 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services12 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

16 services16 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230019

Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

32%279 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

67%165 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

27%56 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

23%56 patients4/55-star benchmark: 91%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

85%592 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%956 patients3/55-star benchmark: 61%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Leave this field empty

Other Providers at the Same Location NPPES 5

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

DOMINIC ZABELL RDN

Dietitian, Registered

30880 BECK RD
NOVI, MI 48377

Oakland County (760) 518-8874

DR. DEBORAH RAYE BENNETT DO

Family Medicine

30880 BECK RD
NOVI, MI 48377

Oakland County (248) 926-0009

MERISSA MAY GARMO PA-C

Physician Assistant

30880 BECK RD
NOVI, MI 48377

Oakland County (248) 926-0009

S PARK-DAVIS HEALTHCARE

Internal Medicine

30880 BECK RD
NOVI, MI 48377

Oakland County (248) 926-0009

FARRAH THWAINEY

Dietitian, Registered

30880 BECK RD
NOVI, MI 48377

Oakland County (248) 926-0009

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 Sungnan Park-davis's NPI number?

The NPI number for Sungnan Park-davis is 1932291432. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Sungnan Park-davis located?

Sungnan Park-davis practices at 30880 Beck Rd, Novi, MI 48377. The listed phone number is (248) 926-0009.

What is Sungnan Park-davis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Sungnan Park-davis enrolled in Medicare?

Yes. Sungnan Park-davis 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.

What insurance does Sungnan Park-davis accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Sungnan Park-davis 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 Sungnan Park-davis affiliated with any hospitals?

According to CMS data, Sungnan Park-davis is affiliated with Ascension Providence Hospital, Southfield And Novi.

When was this NPI record last updated?

The NPPES record for Sungnan Park-davis was last updated on December 18, 2025. 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.