Samuel Park III, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C1-0023852 Issued in DE

Practice address

1240 McKee Rd
Dover, DE 19904-1381

Phone

(302) 672-5800

NPI assigned

Jul 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pam Physician EnterpriseGroup PAC ID 1254628589, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pam Health Rehabilitation Hospital of Georgetown L Inpatient rehabilitation facility, Georgetown, DE, CCN 083028
• Pam Rehabilitation Hospital of Dover Inpatient rehabilitation facility, Dover, DE, CCN 083027

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1962856161

  DE, Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Pam Rehabilitation Hospital of Georgetown LLC

  • Rehabilitation Hospital
  • Georgetown, DE
  • NPI 1679147219
  NPD (past)
• Pam Squared at Dover LLC

  • Rehabilitation Hospital
  • Dover, DE
  • NPI 1295221372
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pam Rehabilitation Hospital of Georgetown LLC

  • Rehabilitation Hospital
  • Georgetown, DE
  • NPI 1679147219

  Inpatient rehabilitation facility

  Care Compare affiliation
• Pam Squared at Dover LLC

  • Rehabilitation Hospital
  • Dover, DE
  • NPI 1295221372

  Inpatient rehabilitation facility

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1295187136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "312-635-0973",
            "fax_number": "312-635-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MCKEE RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199041381",
            "telephone_number": "302-672-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-03",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": "C1-0023852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anush Mahendra Parikh, M.D.
• Mahendra J Parikh, M.D.
• Joseph M Parise, D.O.
• Doosan Park
• Hyeon Jeong Park, DO
• Domonique E Parkes, MD
• Breanna Parks, CNM
• Nikki Parks, LPN
• David T Parrella, MD
• Sarah Parsley

• All providers in Dover, DE
• Physical Medicine & Rehabilitation Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.

Verify at the official NPI Registry.