Individual provider Active NPI

Steve Byongkoo Park, MD

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1053393009
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1824202 Issued in NY
Practice address
2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1360
Phone
(585) 328-0153
Fax
(585) 328-0158
NPI assigned
Nov 16, 2005
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1824202 NY Primary

Addresses

Primary practice location

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1360

Mailing address

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1360
Phone (585) 328-0153

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4794

Other practice location 2

1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 922-4315

Other identifiers 1

IdentifierTypeStateIssuer
01445376MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050308000308 NY Practitioner - Ophthalmology 9436118361 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steve B. Park MD PCGroup PAC ID 0446219372, 14 clinicians

Practice addresses (Care Compare)

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1367
Phone (585) 328-0153

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182420NYMDLicensed Practical Nurse
1824202NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Linden Oaks Surgery Center, LLC CurrentSince Jan 1, 2018 Accepting new patients
Steve B. Park, MD PC Ophthalmology CurrentSince Aug 1, 1994 Accepting new patients
Rochester General Hospital CurrentSince Nov 5, 2011 Accepting new patients
Rochester General Hospital Current Accepting new patients
Unity Linden Oaks Surgery Center CurrentSince Jan 1, 2018 Accepting new patients
Steve B. Park, MD PC CurrentSince Aug 1, 1993 Accepting new patients
Greece ASC, LLC CurrentSince Jan 13, 2021 Accepting new patients
Westside Anesthesia Associates of Rochester, LLP PastSince Jan 13, 2021 Accepting new patients

Locations

10 Hagen Dr
Ste 110
Rochester, NY 14625
Phone (585) 267-7855

135 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 225-0270

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1455 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-4103

2300 Buffalo Rd
Bldg 700
Rochester, NY 14624
Phone (585) 254-2260

485 Titus Ave
Ste A
Rochester, NY 14617
Phone (585) 266-5636

Interoperability endpoints

  • Direct secure messaging: spark@cornerstoneeye.medentdirect.com

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1053393009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241360",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241360",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4794",
            "fax_number": "585-922-3635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212006",
            "country_code": "US",
            "telephone_number": "585-922-4315",
            "fax_number": "585-922-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "STEVE",
        "middle_name": "BYONGKOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1824202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01445376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.