Active NPI
Steve Byongkoo Park, MD
- Ophthalmology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1824202
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01445376 | Medicaid | NY |
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
Enrollment records 1
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
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 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1011 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182420 | NY | MD | Licensed Practical Nurse |
| 1824202 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Linden Oaks Surgery Center, LLC | Current | Accepting new patients | |
| Steve B. Park, MD PC | Ophthalmology | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Unity Linden Oaks Surgery Center | Current | Accepting new patients | |
| Steve B. Park, MD PC | Current | Accepting new patients | |
| Greece ASC, LLC | Current | Accepting new patients | |
| Westside Anesthesia Associates of Rochester, LLP | Past | 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
- 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.
-
dba Cornerstone Eye Associates
- Optometrist
- Rochester, NY
- NPI 1235246984
Ophthalmology
-
dba Cornerstone Surgery Center
- Ambulatory Surgical Clinic/Center
- Rochester, NY
- NPI 1780206292
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Ambulatory Surgical Clinic/Center
- Rochester, NY
- NPI 1194091801
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba West Fall Surgery Center
- Ambulatory Surgical Clinic/Center
- Rochester, NY
- NPI 1356903967
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1871582601
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.