Individual provider Active NPI

In Seok Park, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1255428553
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2531 Issued in TX
Practice address
7330 San Pedro Ave
Ste. 405
San Antonio, TX 78216-6235
Phone
(210) 344-2673
Fax
(210) 344-2649
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X L2531 TX
Internal Medicine Physician 207R00000X L2531 TX Primary

Addresses

Primary practice location

7330 San Pedro Ave
Ste. 405
San Antonio, TX 78216-6235

Mailing address

7330 San Pedro Ave
Ste. 405
San Antonio, TX 78216-6235
Phone (210) 344-2673

Other identifiers 1

IdentifierTypeStateIssuer
1535320-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110510000113 TX Practitioner - Internal Medicine 5193901155 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians
Apexmed PLLCGroup PAC ID 3678842978, 21 clinicians

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-2015

505 Madison Oak Dr
San Antonio, TX 78258-3974
Phone (210) 481-9000

Hospital & facility affiliations

  • Altus Hospice Hospice, San Antonio, TX, CCN 741642
  • University Health System Hospital, San Antonio, TX, CCN 450213
  • Mesa Vista Inn Health Center Nursing home, San Antonio, TX, CCN 455444

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2531TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apexmed, PLLC Internal Medicine CurrentSince Jan 24, 2019 Accepting new patients
Apexcare PLLC CurrentSince Jun 1, 2021 Accepting new patients
Community Medicine Associates Internal Medicine CurrentSince Oct 8, 2021 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Apr 19, 2015 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Bexar County Hospital District Past Accepting new patients
South Alamo Medical Group, P.a. Internal Medicine Past Accepting new patients

Locations

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

505 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 481-9000

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

4085 De Zavala Rd
Ste 150
Shavano Park, TX 78249
Phone (210) 368-6614

4085 De Zavala Rd
Ste 200
Shavano Park, TX 78249
Phone 2105586288123

Interoperability endpoints

  • Direct secure messaging: ipark470244@uhssa.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mesa Vista Inn Health CenterSan Antonio, TX, CCN 455444 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1255428553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE",
            "address_2": "STE. 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166235",
            "telephone_number": "210-344-2673",
            "fax_number": "210-344-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE",
            "address_2": "STE. 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166235",
            "telephone_number": "210-344-2673",
            "fax_number": "210-344-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "IN SEOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "L2531",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1535320-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.