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MICHAEL PARK M.D.
NPI 1942204680
Allergy & Immunology in Portage, MI

Active since June 10, 2005PECOS Enrolled
430 W CENTRE AVE, PORTAGE, MI 49024(269) 321-6673(269) 324-5594 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Park M.d. NPPES

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

MICHAEL PARK M.D. (NPI 1942204680) is an individual allergy & immunology provider in Portage, Michigan, licensed in Michigan (4301063179) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942204680
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameMICHAEL PARKCredential: M.D.
Location Address430 W CENTRE AVEPortage, MI 49024-5304
Mailing Address430 W Centre AvePortage, MI 49024-5304 · (269) 321-6673 · Fax (269) 324-5594
Phone(269) 321-6673
Fax(269) 324-5594
Sole ProprietorYes
Enumeration DateJune 10, 2005
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1942204680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in MI · 4301063179
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
430 W CENTRE AVE, Portage, MI 49024
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Other Identifiers 1

Medicaid4111376MI

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael 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.

Other Providers at the Same Location NPPES 3

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

PARK ALLERGY CENTER PC
Allergy & Immunology
430 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 321-6673
PARAGON HEALTH, P.C.
Allergy & Immunology (Allergy)
430 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 321-6673
DR. JOON H PARK M.D.
General Practice
430 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 321-6673

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 Michael Park's NPI number?

The NPI number for Michael Park is 1942204680. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Michael Park located?

Michael Park practices at 430 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 321-6673.

What is Michael Park's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Michael Park enrolled in Medicare?

Yes. Michael Park is registered in the Medicare PECOS enrollment system.

What insurance does Michael Park accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michael Park 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.

When was this NPI record last updated?

The NPPES record for Michael Park was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.