Individual provider Active NPI

Michael Park, M.D.

  • Internal Medicine Physician
  • Muncie, IN
National Provider Identifier
1043659956
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S5243 Issued in TX
Practice address
2401 W University Ave
Muncie, IN 47303-3428
Phone
(347) 226-8009
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S5243 TX Primary

Addresses

Primary practice location

2401 W University Ave
Muncie, IN 47303-3428

Mailing address

1006 Little Elm Park
Austin, TX 78758-6713
Phone (347) 226-8009

Other practice location 1

1000 Saint Christopher Dr
Ashland, KY 41101-7034
Phone (606) 833-3333

Other practice location 2

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201207000134 TX Practitioner - Internal Medicine 3274828173 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians
Jason Martin Medical Consulting LLCGroup PAC ID 8325289812, 51 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-0150

208 Bella Colinas Dr
Austin, TX 78738-7631
Phone (512) 840-1158

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

3501 Mills Ave
Austin, TX 78731-6309
Phone (512) 324-1017

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5243TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince Jul 18, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Lonestar Pat Associates PA Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
Aco Jason Martin Medical Consulting Internal Medicine CurrentSince Sep 25, 2025 Accepting new patients
Jason Martin Medical Consulting LLC CurrentSince Sep 15, 2024 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 26, 2020 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Mar 17, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Ascension Seton Past Accepting new patients

Locations (25 of 33)

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

Organizations & group practices 10

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 5

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1043659956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 LITTLE ELM PARK",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586713",
            "telephone_number": "347-226-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "347-226-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Saint Christopher Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017034",
            "country_code": "US",
            "telephone_number": "606-833-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Crystal Run Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109414028",
            "country_code": "US",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.