John Jungsik Park, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

N2712 Issued in TX

Practice address

16605 Southwest Fwy
Suite 285
Sugar Land, TX 77479-3501

Phone

(281) 313-0031

NPI assigned

Jan 8, 2007

Last updated

Jul 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Neurosurgery

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laredo Physicians GroupGroup PAC ID 1355582461, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643

Merit-based Incentive Payment System (MIPS)

Final score

61.29 of 100Reported as group

Quality

49.68

Improvement activities

0

Cost

79.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jopark@direct.uspi.com

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.

• Laredo Physicians Group

  • Family Medicine Physician
  • Laredo, TX
  • NPI 1659619260
  Medicare reassignment Care Compare group NPD
• Doctors Hospital of Laredo

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1396731105
  NPD (past)

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

• Doctors Hospital of Laredo

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1396731105
  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1063560597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 285",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "281-313-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 285",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "281-313-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOHN",
        "middle_name": "JUNGSIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N2712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202947201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TEXAS",
            "identifier": "8BZ837",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neema Parikh
• Purvi Mehul Parikh, DDS
• Shreya Parikh, M.D.
• Shrina Parikh, MD
• Alan Leslie Park, PT, DPT
• Quocdai Dochull Park, MD
• Mehjabin Ismail Parkar, MD
• Samantha Lee Parker Lane, MD
• Barbara J Parker, OT
• Braden Parker, M.D.

• Neurological Surgery Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.