Jin S Park, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

2008015782 Issued in MO

Practice address

1000 Carondelet Dr Ste 201B
Kansas City, MO 64114

Phone

(913) 956-2250

Fax

(913) 956-2251

NPI assigned

Jan 4, 2006

Last updated

Sep 17, 2026By 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 6

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

State University of Ny Upstate Medical University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Healthcare Kansas City - Physician Services LLCGroup PAC ID 7315267325, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
• Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034
• St Mary's Medical Center Hospital, Blue Springs, MO, CCN 260193
• Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

Merit-based Incentive Payment System (MIPS)

Final score

80.35 of 100Reported as group

Quality

61.06

Promoting interoperability

99

Improvement activities

40

Cost

74.26

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prime Healthcare Kansas City - Physician Services LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1427449487

  Internal Medicine, KS

  Medicare reassignment Care Compare group NPD
• Encompass Medical Group, PA

  dba Encompass Medical Group, PC

  • General Practice Physician
  • Overland Park, KS
  • NPI 1063457299

  Internal Medicine, MO

  Medicare reassignment NPD
• Prime Healthcare Services - Kansas City, LLC

  dba St. Joseph Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1528463080
  NPD (past)

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

• Bates County Memorial Hospital

  • General Acute Care Hospital
  • Butler, MO
  • NPI 1770536740
  Care Compare affiliation
• Bates County Memorial Hospital Ambulance

  • Land Ambulance
  • Butler, MO
  • NPI 1356448740

  Hospital

  Care Compare affiliation
• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Care Compare affiliation
• Prime Healthcare Services - Kansas City, LLC

  dba St. Joseph Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1528463080
  Care Compare affiliation
• Prime Healthcare Services Blue Springs, LLC

  dba St. Mary's Medical Center

  • General Acute Care Hospital
  • Blue Springs, MO
  • NPI 1912303579
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Saint Luke's Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Crittenton Children's Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke's Hospital of Kansas City

  dba Saint Luke's Hospital Infusion Center at Liberty

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1164400768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR STE 201B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "913-956-2250",
            "fax_number": "913-956-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR STE 201B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "913-956-2250",
            "fax_number": "913-956-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NW RD Mize Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "64014",
            "country_code": "US",
            "telephone_number": "816-228-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8929 Parallel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121689",
            "country_code": "US",
            "telephone_number": "913-596-7224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8919 Parallel Pkwy Ste 580",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121655",
            "country_code": "US",
            "telephone_number": "913-596-7224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 W Nursery St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "MO",
            "postal_code": "647301840",
            "country_code": "US",
            "telephone_number": "660-200-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 E 147th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640304204",
            "country_code": "US",
            "telephone_number": "913-956-2250",
            "fax_number": "913-956-2251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093722",
            "country_code": "US",
            "telephone_number": "913-498-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2008015782",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2008015782",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "194765",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0433150",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2008015782",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "0433150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164400768",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00632841",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01990005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Michael Parisky, M.D.
• Park Hill School District
• Abraham Jungmyung Park, MD
• Brandon Park
• Eun Young Park, MD
• Philip Eunpil Park, DDS
• Victoria Fagan Park, FNP
• Cindy Parkans, LSCSW, LCSW
• Aimee Parker, R. EEG T.
• Andrew Parker, ATC, LAT

• Interventional Cardiology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Interventional Cardiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.