Active NPI
Jin Hong Park, MD
- Gastroenterology Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101234726
- Practice address
- 8640 Sudley Rd Ste 201
Manassas, VA 20110-4404 - Phone
- (703) 368-6819
- Fax
- (703) 330-2923
- NPI assigned
- Jun 17, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101234726 | VA | Primary |
Addresses
Primary practice location
8640 Sudley Rd Ste 201
Manassas, VA 20110-4404
Mailing address
PO Box 381468
Germantown, TN 38183-1468
Other practice location 1
7915 Lake Manassas Dr Ste 302
Gainesville, VA 20155-3260
Phone (571) 248-0653
Other practice location 2
170 W Shirley Ave Ste 205
Warrenton, VA 20186-3083
Phone (540) 347-2470
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010000386 | Medicaid | VA | |
| 1225033038 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Gastroenterology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-8960
8640 Sudley Rd
Suite 201
Manassas, VA 20110-4404
Phone (703) 368-6819
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5297
Hospital & facility affiliations
- Uva Health Haymarket Medical Center
- Sentara Martha Jefferson Hospital
- Uva Health Prince William Medical Center
- Fauquier Hospital
- University of Virginia Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 96 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 128 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Martha Jefferson Medical Group LLC | Current | Accepting new patients | |
| Martha Jefferson Hospital | Past | Accepting new patients |
Locations
500 Martha Jefferson Dr
Ste 415C
Charlottesville, VA 22911
Phone (434) 654-8960
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
dba Colon Stomach & Liver Center
- Gastroenterology Physician
- Gainesville, VA
- NPI 1518990472
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
dba UVA Health Urgent Care and Occupational Medicine Bristow
- Emergency Medicine Physician
- Bristow, VA
- NPI 1972978195
-
dba Sentara Endoscopy Center
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fauquier Health
- General Acute Care Hospital
- Warrenton, VA
- NPI 1912334517
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
dba UVA Health Sciences Center
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
dba UVA Health Haymarket Medical Center
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
dba UVA Health Prince William Medical Center
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1225033038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381468",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8640 SUDLEY RD STE 201",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104404",
"telephone_number": "703-368-6819",
"fax_number": "703-330-2923"
}
],
"practiceLocations": [
{
"address_1": "7915 Lake Manassas Dr Ste 302",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "VA",
"postal_code": "201553260",
"country_code": "US",
"telephone_number": "571-248-0653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 W Shirley Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "VA",
"postal_code": "201863083",
"country_code": "US",
"telephone_number": "540-347-2470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "JIN",
"middle_name": "HONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101234726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010000386",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225033038",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.