Individual provider Active NPI

Ken Park, M.D.

  • Internal Medicine Physician
  • McKinney, TX
National Provider Identifier
1316980295
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8962 Issued in TX
Practice address
8994 Tour Dr Ste 210
McKinney, TX 75070-2036
Phone
(972) 449-5900
Fax
(972) 449-7100
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K8962 TX Primary

Addresses

Primary practice location

8994 Tour Dr Ste 210
McKinney, TX 75070-2036

Mailing address

8994 Tour Dr Ste 210
McKinney, TX 75070-2036
Phone (972) 449-5900

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
I20111215000787 TX Practitioner - Internal Medicine 2466582028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD on Call PAGroup PAC ID 2264402874, 11 clinicians

Practice addresses (Care Compare)

5601 Warren Pkwy
Frisco, TX 75034-4069
Phone (214) 221-6362

6200 W Parker Rd
Plano, TX 75093-8185
Phone (214) 221-6362

7115 Greenville Ave
Dallas, TX 75231-5100
Phone (972) 600-2223

8050 Meadow Rd
Dallas, TX 75231-3406
Phone (214) 221-6362

Hospital & facility affiliations

  • Libbys Home Health Care Home health agency, Dallas, TX, CCN 679031
  • Amazing Health Services Home health agency, Dallas, TX, CCN 679651
  • Santa Maria Home Health Agency Home health agency, Farmers Branch, TX, CCN 747444
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • The Healthcare Resort of Plano Nursing home, Plano, TX, CCN 676395

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as apm
Quality
76.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access 360 Care Inc Internal Medicine CurrentSince Aug 9, 2023 Accepting new patients
North Texas Hospitalists, PLLC Internal Medicine CurrentSince Mar 29, 2014 Accepting new patients
NP Concepts, PLLC CurrentSince Apr 23, 2014 Accepting new patients
Oak Point Healthcare, Inc. Past Accepting new patients

Locations

4381 W Green Oaks Blvd
Ste 103
Arlington, TX 76016
Phone (682) 302-0306

4381 W Green Oaks Blvd
#10
Arlington, TX 76016
Phone (682) 302-0306

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

8050 Meadow Rd
Dallas, TX 75231
Phone (214) 396-5260

18648 Hillcrest Rd
Dallas, TX 75252
Phone (972) 517-7771

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

8994 Tour Dr
Ste 210
McKinney, TX 75070
Phone (972) 449-5900

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

3325 W Plano Pkwy
Plano, TX 75075
Phone (972) 379-0000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDHHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDHHBD/Endpoint/JDHHBD

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
The Healthcare Resort of PlanoPlano, TX, CCN 676395 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Oct 1, 2018
Oct 1, 2018
Jun 18, 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 5

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 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1316980295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8994 TOUR DR STE 210",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702036",
            "telephone_number": "972-449-5900",
            "fax_number": "972-449-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8994 TOUR DR STE 210",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702036",
            "telephone_number": "972-449-5900",
            "fax_number": "972-449-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.