DR. JI-WEON PARK MD
NPI 1952573511
Pathology - Anatomic Pathology & Clinical Pathology in Lake Forest, IL
About Dr. Ji-weon Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JI-WEON PARK MD (NPI 1952573511) is an individual anatomic pathology & clinical pathology provider in Lake Forest, Illinois, licensed in Illinois (036137671) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Ji-weon Park 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ji-weon Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 25 clinicians in this Medicare group
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 21 clinicians in this Medicare group
Aurora, IL 60504
- Reassigned Medicare billing, Illinois enrollment
- 5 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 15
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILNorthwestern Medicine Mchenry
Acute Care Hospitals · Mchenry, ILNorthwestern Lake Forest Hospital
Acute Care Hospitals · Lake Forest, ILAdvocate Condell Medical Center
Acute Care Hospitals · Libertyville, ILNorthwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60045 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE FOREST, IL 60045
LAKE FOREST, IL 60045
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 Ji-weon Park's NPI number?
The NPI number for Ji-weon Park is 1952573511. It was assigned to this individual provider in the NPPES registry on March 24, 2008.
Where is Ji-weon Park located?
Ji-weon Park practices at 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045. The listed phone number is (847) 535-6218.
What is Ji-weon Park's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Ji-weon Park enrolled in Medicare?
Yes. Ji-weon 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 Ji-weon Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ji-weon Park reassigns Medicare benefits to 4 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL), University Pathology Diagnostics Sc (Chicago, IL), University Pathologists P C (Chicago, IL) and Pathology Associates Of Aurora LLC (Aurora, IL). 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 Ji-weon Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ji-weon Park affiliated with any hospitals?
According to CMS data, Ji-weon Park is affiliated with Northshore University Healthsystem - Evanston Hospital, Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Advocate Condell Medical Center and Northwestern Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Ji-weon Park was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.