CHAN JEROME PARK MD, PHD
NPI 1932498722
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Las Vegas, NV
About Chan Jerome Park Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAN JEROME PARK MD, PHD (NPI 1932498722) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Las Vegas, Nevada, licensed in Nevada (20992) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and is a graduate of Harvard Medical School (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chan Jerome Park Md, Phd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Chan Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Henderson, NV 89052
- Reassigned Medicare billing, Nevada enrollment
- 143 clinicians in this Medicare group
Henderson, NV 89011
- Reassigned Medicare billing, Nevada enrollment
- 23 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Rose Dominican Hospitals - Siena Campus
Acute Care Hospitals · Henderson, NVSaint Rose Dominican Hospitals - San Martin Campus
Acute Care Hospitals · Las Vegas, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89113
LAS VEGAS, NV 89113
LAS VEGAS, NV 89113
LAS VEGAS, NV 89113
LAS VEGAS, NV 89113
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 Chan Park's NPI number?
The NPI number for Chan Park is 1932498722. It was assigned to this individual provider in the NPPES registry on March 31, 2011.
Where is Chan Park located?
Chan Park practices at 7190 S Cimarron Rd, Las Vegas, NV 89113. The listed phone number is (702) 675-3240.
What is Chan Park's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Chan Park enrolled in Medicare?
Yes. Chan 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.
Which organizations bill Medicare for Chan Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chan Park reassigns Medicare benefits to 2 organizations: Dignity Health Medical Group Nevada, LLC (Henderson, NV) and Dignity Health (Henderson, NV). 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 Chan Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Chan Park affiliated with any hospitals?
According to CMS data, Chan Park is affiliated with Saint Rose Dominican Hospitals - Siena Campus and Saint Rose Dominican Hospitals - San Martin Campus.
When was this NPI record last updated?
The NPPES record for Chan Park was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Chan Jerome Park, MD, PHD · NPI 1932498722
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since March 31, 2011.
## Identity
- **NPI:** 1932498722 (Entity type: Individual)
- **Enumerated:** March 31, 2011
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 20992 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 7190 S CIMARRON RD, Las Vegas, NV 89113-2171
- **Phone:** (702) 675-3240 · **Fax:** (702) 982-6347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dignity Health Medical Group Nevada, LLC (NPI 1376805416, Henderson, NV); Dignity Health (NPI 1720358039, Henderson, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2001
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1932498722) · Data from the CMS NPPES public registry.