BENJAMIN PARK MD, PHD
NPI 1992267587
Student in an Organized Health Care Education/Training Program in Stanford, CA
About Benjamin Park Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN PARK MD, PHD (NPI 1992267587) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Illinois Medical College (2019).
NPPES Registry Identity
Specialties & Licenses
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
Benjamin Park Md, Phd 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.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Benjamin Park's NPI number?
The NPI number for Benjamin Park is 1992267587. It was assigned to this individual provider in the NPPES registry on April 2, 2019.
Where is Benjamin Park located?
Benjamin Park practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 497-5415.
What is Benjamin 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 Benjamin Park enrolled in Medicare?
Yes. Benjamin 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.
When was this NPI record last updated?
The NPPES record for Benjamin Park was last updated on September 8, 2020. 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.
# Benjamin Park, MD, PHD · NPI 1992267587
Student in an Organized Health Care Education/Training Program provider in Stanford, California. Individual provider, active in the CMS NPPES registry since April 2, 2019.
## Identity
- **NPI:** 1992267587 (Entity type: Individual)
- **Enumerated:** April 2, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 497-5415
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Illinois Medical College, class of 2019
## Record status
- **NPPES last updated:** September 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1992267587) · Data from the CMS NPPES public registry.