Individual provider Active NPI

Hyesun Park, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1215450820
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
283298 Issued in MA
Practice address
450 Brookline Ave Dept of
Boston, MA 02215-5418
Phone
(617) 632-4891
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 283298 MA Primary

Addresses

Primary practice location

450 Brookline Ave Dept of
Boston, MA 02215-5418

Mailing address

101 S Huntington Ave # 411
Boston, MA 02130-4704
Phone (617) 691-0556

Other practice location 1

41 Mall Rd
Burlington, MA 01805-5418
Phone (781) 744-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200904001340 MA Practitioner - Diagnostic Radiology 1557788502 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4000

16 Hayden Ave
Lexington, MA 02421-7929
Phone (781) 372-7100

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Associates, Inc. CurrentSince Aug 4, 2020 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Aug 4, 2020 Accepting new patients
Lahey Clinic, Inc CurrentSince Feb 15, 2022 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Oct 1, 2020 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jan 19, 2021 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jan 19, 2021 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Aug 7, 2020 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Aug 4, 2020 Accepting new patients
Lahey Clinic, Inc. CurrentSince Feb 15, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jul 5, 2020 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients
Brigham and Womens Physicians Organization Inc Diagnostic Radiology Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

75 Francis St
Boston, MA 02115

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1153 Centre St
#L1
Jamaica Plain, MA 02130

254 2nd Ave
Needham Heights, MA 02494
Phone (781) 416-8414

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: hpark178435@direct.bilh.masshiway.net
  • Direct secure messaging: park.hyesun.bwh@direct.partners.masshiway.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1215450820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S HUNTINGTON AVE # 411",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304704",
            "telephone_number": "617-691-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE DEPT OF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-632-4891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018055418",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYESUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "283298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.