Active NPI
Jeffrey Park, M.D.
- Interventional Cardiology Physician
- Aurora, CO
National Provider Identifier
1124445184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- DR.0068559
- Practice address
- 1444 S Potomac St Ste 300
Aurora, CO 80012-4510 - Phone
- (303) 750-0822
- Fax
- (303) 750-1298
- NPI assigned
- Mar 27, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125065218 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 2020-04840 | NC | |
| Interventional Cardiology Physician | 207RI0011X | DR.0068559 | CO | Primary |
Addresses
Primary practice location
1444 S Potomac St Ste 300
Aurora, CO 80012-4510
Mailing address
1444 S Potomac St Ste 300
Aurora, CO 80012-4510
Phone (303) 750-0822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713001649 | NC | Practitioner - Cardiovascular Disease (Cardiology) | 4486958279 | Reassigns benefits to 2 organizations |
| I20220801002757 | CO | Practitioner - Interventional Cardiology | 4486958279 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1444 S Potomac St
300 Aurora Denver Cardiology Associates
Aurora, CO 80012-4510
Phone (303) 750-0822
Hospital & facility affiliations
- The Medical Center of Aurora & South Hospital
- HCA-Healthone Dba Swedish Medical Center
- Sky Ridge Medical Center
- Kit Carson County Memorial Hospital
- HCA Healthone Rose
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 81 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-04840 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatham Hospital Inc | Current | Accepting new patients | |
| Healthone Heart Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Chatham Hospital, Inc. | Current | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients | |
| Healthone Heart Care LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1444 S Potomac St
#30
Aurora, CO 80012
Phone (303) 750-0822
14100 E Arapahoe Rd
Ste 130
Centennial, CO 80112
Phone (303) 241-5751
1444 S Potomac St
Ste 300
Denver, CO 80012
Phone (303) 750-0822
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000
475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- jeffrey.park@hca3.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Aurora, CO
- NPI 1982948089
Cardiovascular Disease, CO
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1659327013
-
- Cardiovascular Disease Physician
- Centennial, CO
- NPI 1962018390
Cardiovascular Disease
Hospital & facility affiliations 15
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": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1124445184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 S POTOMAC ST STE 300",
"city": "AURORA",
"state": "CO",
"postal_code": "800124510",
"telephone_number": "303-750-0822",
"fax_number": "303-750-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 S POTOMAC ST STE 300",
"city": "AURORA",
"state": "CO",
"postal_code": "800124510",
"telephone_number": "303-750-0822",
"fax_number": "303-750-1298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JEFFREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-27",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125065218",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2020-04840",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CO",
"license": "DR.0068559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.