SUSIE PARK
NPI 1972245132
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037(202) 741-3000 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susie Park NPPES

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

SUSIE PARK (NPI 1972245132) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972245132
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUSIE PARK
Location Address2150 PENNSYLVANIA AVE NWWashington, DC 20037-3201
Mailing Address26835 Waller LnPrincess Anne, MD 21853-3527
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 8, 2022
Last NPPES UpdateApril 10, 2022
NPPES CertifiedApril 10, 2022
NPI 1972245132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2150 PENNSYLVANIA AVE NW, Washington, DC 20037

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

Susie Park 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 ID9739682360
PECOS Enrollment IDI20251027004444
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.

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

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.

Internal Medicine
2150 PENNSYLVANIA AVE NW, SUITE 5-416
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Obstetrics)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Hematology & Oncology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Rheumatology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

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 Susie Park's NPI number?

The NPI number for Susie Park is 1972245132. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Susie Park located?

Susie Park practices at 2150 Pennsylvania Ave NW, Washington, DC 20037. The listed phone number is (202) 741-3000.

What is Susie Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Susie Park enrolled in Medicare?

Yes. Susie 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.

Is Susie Park affiliated with any hospitals?

According to CMS data, Susie Park is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Susie Park was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.