DR. KYU-SIK PARK M.D.
NPI 1952443202
Anesthesiology in Cottonwood, AZ

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
63.63/100
CMS Quality Rating
269 S CANDY LN, COTTONWOOD, AZ 86326(928) 639-6150 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kyu-sik Park M.d. NPPES

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

DR. KYU-SIK PARK M.D. (NPI 1952443202) is an individual anesthesiology provider in Cottonwood, Arizona, licensed in Arizona (75588) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in South Bend, and is a graduate of Indiana University School Of Medicine (2005).

NPPES Registry Identity

NPI1952443202
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KYU-SIK PARKCredential: M.D.
Location Address269 S CANDY LNCottonwood, AZ 86326
Mailing Address1200 N Beaver St, Attn: Payer CredentialingFlagstaff, AZ 86001-3118 · (928) 213-6235 · Fax (928) 213-6292
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2005
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1952443202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses Licensed in AZ · 75588 Licensed in KY · IP922
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
269 S CANDY LN, Cottonwood, AZ 86326

Secondary Practice Location 1

Location 1416 E Monroe St Ste 200South Bend, IN 46601-2360 · Phone (574) 232-8119

Accepted 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. Kyu-sik Park M.d. 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 ID9931252905
PECOS Enrollment IDI20250128003780
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 11

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
46 services46 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
35 services34 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
31 services31 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
18 services18 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
16 services16 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
15 services15 patients

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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

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.

Hospitalist
269 S CANDY LN
COTTONWOOD, AZ 86326
Radiology (Diagnostic Radiology)
269 S CANDY LN
COTTONWOOD, AZ 86326
Emergency Medicine
269 S CANDY LN
COTTONWOOD, AZ 86326
Physical Therapist
269 S CANDY LN
COTTONWOOD, AZ 86326
Emergency Medicine
269 S CANDY LN
COTTONWOOD, AZ 86326
Midwife
269 S CANDY LN
COTTONWOOD, AZ 86326
Speech-Language Pathologist
269 S CANDY LN
COTTONWOOD, AZ 86326
Emergency Medicine
269 S CANDY LN
COTTONWOOD, AZ 86326

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 Kyu-sik Park's NPI number?

The NPI number for Kyu-sik Park is 1952443202. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Kyu-sik Park located?

Kyu-sik Park practices at 269 S Candy Ln, Cottonwood, AZ 86326. The listed phone number is (928) 639-6150.

What is Kyu-sik Park's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kyu-sik Park enrolled in Medicare?

Yes. Kyu-sik 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.

What insurance does Kyu-sik Park accept?

Health plans from Blue Cross Blue Shield of Arizona list Kyu-sik 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 Kyu-sik Park was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.