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DR. GRACE EUNJIN PARK M.D.
NPI 1982977278
Urology in El Paso, TX

Active since February 16, 2012PECOS Enrolled
5005 N PIEDRAS ST, EL PASO, TX 79930(915) 742-1900(915) 742-9488 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grace Eunjin Park M.d. NPPES

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

DR. GRACE EUNJIN PARK M.D. (NPI 1982977278) is an individual urology provider in El Paso, Texas, licensed in Nebraska (27457) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982977278
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. GRACE EUNJIN PARKCredential: M.D.
Location Address5005 N PIEDRAS STEl Paso, TX 79930-5097
Mailing Address5005 N Piedras StEl Paso, TX 79930-5097 · (915) 742-1900 · Fax (915) 742-9488
Phone(915) 742-1900
Fax(915) 742-9488
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 16, 2012
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1982977278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NE · 27457
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 27457 (NE)
5005 N PIEDRAS ST, El Paso, TX 79930
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Dr. Grace Eunjin Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880915362
PECOS Enrollment IDI20260317002624
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

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

ERIC T FAGAN
Physical Therapist
5005 N PIEDRAS ST
EL PASO, TX 79930
El Paso County (915) 742-9485
MR. CHRISTOPHER AMAYA RDN, LD
Dietitian, Registered
5005 N PIEDRAS ST
EL PASO, TX 79930
El Paso County (915) 742-2273
GUADALUPE GOMEZ LCSW
Social Worker (Clinical)
5005 N PIEDRAS ST
EL PASO, TX 79930
El Paso County (915) 564-6100
VICTOR MANUEL OQUENDO JR. PHYSICIAN ASSISTANT
Physician Assistant
5005 N PIEDRAS ST
EL PASO, TX 79930
El Paso County (915) 742-2973
DR. BRANDON T ECCLES D.O.
Radiology (Diagnostic Radiology)
5005 N PIEDRAS ST
EL PASO, TX 79930
El Paso County (915) 742-2650
ADAM WELCH
Nurse Anesthetist, Certified Registered
5005 N PIEDRAS ST
EL PASO, TX 79930
El Paso County (915) 247-8000
CATHERINE JACKOSKY M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5005 N PIEDRAS ST
EL PASO, TX 79930
El Paso County (915) 742-1615

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 Grace Park's NPI number?

The NPI number for Grace Park is 1982977278. It was assigned to this individual provider in the NPPES registry on February 16, 2012.

Where is Grace Park located?

Grace Park practices at 5005 N Piedras St, El Paso, TX 79930. The listed phone number is (915) 742-1900.

What is Grace Park's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Grace Park enrolled in Medicare?

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

What insurance does Grace Park accept?

Health plans from Blue Cross and Blue Shield of Texas list Grace 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.

Is Grace Park affiliated with any hospitals?

According to CMS data, Grace Park is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Grace Park was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.