JAE SOO PARK MD
NPI 1992367320
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA
About Jae Soo Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE SOO PARK MD (NPI 1992367320) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Other (2017).
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
Jae Soo 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lincoln Medical & Mental Health Center
Acute Care Hospitals · Bronx, NYFrequently 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 Jae Soo Park's NPI number?
The NPI number for Jae Soo Park is 1992367320. It was assigned to this individual provider in the NPPES registry on July 5, 2019.
Where is Jae Soo Park located?
Jae Soo Park practices at 3471 Fifth Avenue Upmc Department Of Anesthesiology Kaufmann Bldg. Suite 402, Pittsburgh, PA 15213. The listed phone number is (412) 692-4572.
What is Jae Soo 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 Jae Soo Park enrolled in Medicare?
Yes. Jae Soo 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 Jae Soo Park affiliated with any hospitals?
According to CMS data, Jae Soo Park is affiliated with Lincoln Medical & Mental Health Center.
When was this NPI record last updated?
The NPPES record for Jae Soo Park was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jae Soo Park, MD · NPI 1992367320
Student in an Organized Health Care Education/Training Program provider in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 5, 2019.
## Identity
- **NPI:** 1992367320 (Entity type: Individual)
- **Enumerated:** July 5, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3471 FIFTH AVENUE UPMC DEPARTMENT OF ANESTHESIOLOGY, KAUFMANN BLDG. SUITE 402, Pittsburgh, PA 15213
- **Phone:** (412) 692-4572 · **Fax:** (412) 692-4515
## 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:** Other, class of 2017
## Record status
- **NPPES last updated:** June 19, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1992367320) · Data from the CMS NPPES public registry.