Janelle Lira Park, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

23200 Issued in NH

Practice address

580 Court St
Keene, NH 03431-1729

Phone

(603) 354-5400

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL, NH2 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

Specialty

Radiation Oncology

Education

Ohio State University College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cheshire Medical CenterGroup PAC ID 1456260165, 165 clinicians

Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians

Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cheshire Medical Center Hospital, Keene, NH, CCN 300019
• Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
• Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011
• Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cheshire Medical Center

  • Emergency Medicine Physician
  • Keene, NH
  • NPI 1093803397
  Medicare reassignment Care Compare group NPD
• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  Medicare reassignment Care Compare group NPD
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Medicare reassignment Care Compare group NPD
• Florida Urology Partners, LLP

  • Urology Physician
  • Tampa, FL
  • NPI 1447401955
  Medicare reassignment NPD
• Dartmouth-Hitchcock Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Keene, NH
  • NPI 1174176861
  NPD
• Mary Hitchcock Memorial Hospital

  • Community/Retail Pharmacy
  • Keene, NH
  • NPI 1033761739
  NPD
• Mary Hitchcock Memorial Hospital

  • Psychiatric Hospital
  • Hampstead, NH
  • NPI 1699584219
  NPD
• Florida Urology Partners LLP

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1285279430
  NPD (past)
• Physicians for a Community United for Research and Education LLC

  • Radiation Oncology Physician
  • Brandon, FL
  • NPI 1891099032
  NPD (past)
• Tampa General Provider Network Inc

  • Urology Physician
  • Palm Springs, FL
  • NPI 1851030282
  NPD (past)

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

• Cheshire Medical Center

  • General Acute Care Hospital
  • Keene, NH
  • NPI 1629181516
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1629788237
  Care Compare affiliation
• Monadnock Community Hospital

  • Critical Access Hospital
  • Peterborough, NH
  • NPI 1457304149
  Care Compare affiliation
• Monadnock Community Hospital

  • Critical Access Hospital
  • Peterborough, NH
  • NPI 1881676104
  Care Compare affiliation
• Brattleboro Memorial Hospital

  • General Acute Care Hospital
  • Brattleboro, VT
  • NPI 1306849708
  Care Compare affiliation

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1033219563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311729",
            "telephone_number": "603-354-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311729",
            "telephone_number": "603-354-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076214",
            "country_code": "US",
            "telephone_number": "813-875-3950",
            "fax_number": "813-876-0432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Mono Way",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705229",
            "country_code": "US",
            "telephone_number": "209-536-6940",
            "fax_number": "209-536-6952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JANELLE",
        "middle_name": "LIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A78831",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME103816",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NH",
            "license": "23200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00811542",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001497200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "146KH",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "331658",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Panneton
• Victor Francis Pantesco, ED.D.
• Jennifer Lois Paone, BA
• Cassandra Papaleo, DO
• Sarah Parham Brown
• Peter Chunghyun Park, MD
• Steven Young Park, MD
• Breanna Parker
• Mark T. Parker, M.D.
• Jodi Parks, BA

• Radiation Oncology Physician in Keene, NH
• Providers in Keene, NH by specialty
• Radiation Oncology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.