Active NPI
Edward Park, MD
- Pain Medicine (Anesthesiology) Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 0101258721
- Practice address
- 8901 Wisconsin Ave
Walter Reed National Military Medical Center
Bethesda, MD 20889-0004 - Phone
- (301) 295-4455
- NPI assigned
- Apr 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101258721 | VA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0101258721 | VA | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Walter Reed National Military Medical Center
Bethesda, MD 20889-0004
Mailing address
8901 Wisconsin Ave
Walter Reed National Military Medical Center
Bethesda, MD 20889-0004
Phone (301) 295-4455
Other practice location 1
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088
29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300
3001 S Hanover St
Baltimore, MD 21225-1233
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 81.01
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101258721 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Inova Cares - Community | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Capitol Anesthesia Associates, LTD | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Maryland LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Stonesprings Anesthesia Associates, LTD | Anesthesiology | Current | Accepting new patients |
| Dominion Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Reston Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Virginia, LLC | Anesthesiology | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
20680 Seneca Meadows Pkwy
Ste 200
Germantown, MD 20876
Phone (240) 608-6000
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
Interoperability endpoints
- epark164012@soc.inova.org
- edward.park.1@25225.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- La Plata, MD
- NPI 1528747490
-
- Anesthesiology Physician
- Dulles, VA
- NPI 1255718235
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1720175623
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1245640374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"address_2": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890004",
"telephone_number": "301-295-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"address_2": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890004",
"telephone_number": "301-295-4455"
}
],
"practiceLocations": [
{
"address_1": "3600 Joseph Siewick Dr",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331709",
"country_code": "US",
"telephone_number": "703-391-3129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101258721",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0101258721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.