Individual provider Active NPI

Hyung Uk Park, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Spokane, WA
National Provider Identifier
1023044187
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
MD00044962 Issued in WA
Practice address
9631 N Nevada St Ste 300
Spokane, WA 99218-1193
Phone
(509) 465-3919
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X MD00044962 WA Primary
Pulmonary Disease Physician 207RP1001X W3023 TX
Psychiatry Physician 2084P0800X MD00044962 WA

Addresses

Primary practice location

9631 N Nevada St Ste 300
Spokane, WA 99218-1193

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Other practice location 1

1005 Harborside Dr
Fl 6
Galveston, TX 77555-0001
Phone (832) 505-2450

Other identifiers 1

IdentifierTypeStateIssuer
1042398MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060927000067 WA Practitioner - PsychiatryPractitioner - Other (Physician)Practitioner - Sleep Medicine 2668477597 Reassigns benefits to 1 organization
I20260112001293 TX Practitioner - Pulmonary Disease 2668477597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Meharry Medical College School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

250 Blossom St
Webster, TX 77598-4241

400 N Texas Ave
Webster, TX 77598-4961

511 Park Grove Dr
Katy, TX 77450-1759
Phone (281) 398-7001

PO Box
650859 Dept 710
Dallas, TX 75265-0859

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Providence St Luke'S Rehabilitation Medical Center Inpatient rehabilitation facility, Spokane, WA, CCN 503025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
W3023TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Psychiatry CurrentSince Feb 1, 2026 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Feb 16, 2018 Accepting new patients
40 Winks Sleep LLC CurrentSince Nov 14, 2012 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Feb 16, 2018 Accepting new patients
Hyung Park MD PLLC Sleep Medicine Current Accepting new patients
Gandis G Mazeika MD PS PastSince Dec 29, 2020 Accepting new patients
Renovo Medical Group PastSince Nov 14, 2012 Accepting new patients
Sleep Care Inc Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

916 Pacific Ave
#P
Everett, WA 98201
Phone (425) 258-7460

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

17311 135th Ave NE
Ste A800
Woodinville, WA 98072
Phone (206) 790-6129

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1023044187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181193",
            "telephone_number": "509-465-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Harborside Dr",
            "address_2": "Fl 6",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550001",
            "country_code": "US",
            "telephone_number": "832-505-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYUNG",
        "middle_name": "UK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "WA",
            "license": "MD00044962",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "W3023",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00044962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042398",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.