Individual provider Active NPI

Yu-Soon Aileen Park, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1265992507
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
61103 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone
(480) 301-8000
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 61103 AZ Primary

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5499

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-4440

Other practice location 2

500 W Thomas Rd Ste 100
Phoenix, AZ 85013-4255
Phone (602) 406-1115

Other practice location 3

4975 N Dysart Rd Unit 100
Litchfield Park, AZ 85340-3082
Phone (602) 406-8852

Other practice location 4

17040 N 51st Ave Ste 100
Glendale, AZ 85308-1496
Phone (602) 406-1164

Other practice location 5

7330 N 99th Ave Ste 200
Glendale, AZ 85307-3018
Phone (602) 406-0033

Other practice location 6

625 N 6th St
Phoenix, AZ 85004-3063
Phone (602) 406-8222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ypark2083602@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230303001344 AZ Practitioner - Diagnostic Radiology 5395118806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic ArizonaGroup PAC ID 7012829930, 1,618 clinicians
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

Hospital & facility affiliations

  • Mayo Clinic Hospital Hospital, Phoenix, AZ, CCN 030103
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61103AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Sjhmc Physician Services CurrentSince Oct 1, 2025 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Smi Imaging LLC CurrentSince Oct 1, 2022 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 1, 2025 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 1, 2025 Accepting new patients
St Josephs Pathology Current Accepting new patients

Locations

7330 N 99th Ave
Ste 200
Glendale, AZ 85307
Phone (602) 406-0033

17040 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 406-1164

4975 N Dysart Rd
Unit 100
Litchfield Pk, AZ 85340
Phone (602) 406-8700

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

625 N 6th St
Phoenix, AZ 85004
Phone (602) 406-8222

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

13400 E Shea Blvd
Scottsdale, AZ 85259

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: ypark2083602@ehrdirect.mayoclinicmsg.org

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 5

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1265992507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595499",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134409",
            "country_code": "US",
            "telephone_number": "602-406-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Thomas Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134255",
            "country_code": "US",
            "telephone_number": "602-406-1115",
            "fax_number": "602-406-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4975 N Dysart Rd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853403082",
            "country_code": "US",
            "telephone_number": "602-406-8852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17040 N 51st Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081496",
            "country_code": "US",
            "telephone_number": "602-406-1164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 N 99th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853073018",
            "country_code": "US",
            "telephone_number": "602-406-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850043063",
            "country_code": "US",
            "telephone_number": "602-406-8222",
            "fax_number": "602-406-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "YU-SOON",
        "middle_name": "AILEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "61103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ypark2083602@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.