Charlie Chulhyun Park, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

1015043 Issued in MA

Practice address

55 Fruit St
Boston, MA 02114-2696

Phone

(617) 726-2000

NPI assigned

Apr 19, 2018

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

Other names 1

• Chulhyun Park Former name

Medicare fee-for-service enrollment

Enrolled in MA, CA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of California, San Diego School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians

Tower Imaging Medical Group IncGroup PAC ID 2668376708, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
• Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353
• Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
• Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

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.

• Tower Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1023315074

  MA

  Medicare reassignment Care Compare group NPD
• Tower Imaging Medical Group, Inc

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1013962067
  Medicare reassignment Care Compare group
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Medicare reassignment NPD
• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573
  Medicare reassignment
• Little Company of Mary Ancillary Services Corporation

  • Radiology Clinic/Center
  • Torrance, CA
  • NPI 1265466189
  NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931
  NPD (past)
• Swedish First Hill Diagnostic Imaging, LLC

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1801938048
  NPD (past)

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

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • San Pedro, CA
  • NPI 1497241541
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • San Pedro, CA
  • NPI 1942247291
  Care Compare affiliation
• Providence Health System Southern California

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1902844988
  Care Compare affiliation
• Providence Saint John'S Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  Care Compare affiliation

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1326535956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 LOMITA BLVD UNIT 7",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102097",
            "telephone_number": "310-988-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1427 Lomita Blvd Unit 7",
            "address_purpose": "LOCATION",
            "city": "Harbor City",
            "state": "CA",
            "postal_code": "907102097",
            "country_code": "US",
            "telephone_number": "310-988-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHARLIE",
        "middle_name": "CHULHYUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1015043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHULHYUN",
            "last_name": "PARK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Park Prosthodontics, PLLC
• Agnes Park, MD
• Carly F Park, DMD
• Chan-Shik Park, MD PHD
• Changhee Park, NP
• Christopher Park
• Chul-Wan Park, DDS
• Cindy Park, MD
• Diana Park, RN
• Dongchan Park, M.D

• Diagnostic Radiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.