Individual provider Active NPI

Jonathan T. Pak, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1467657056
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD153593 Issued in OR
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 742-9000
NPI assigned
Jun 15, 2007
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 71961 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD61099515 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD153593 OR Primary

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

3181 SW Sam Jackson Park Rd
Mail Code Uhn67
Portland, OR 97239-3011
Phone (206) 369-4424

Other practice location 1

3181 SW Sam Jackson Park Rd
Mail Code UHN67
Portland, OR 97239-3011
Phone (503) 494-8211

Other practice location 2

200 NE Mother Joseph Pl Ste 330
Vancouver, WA 98664-3288
Phone (360) 514-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120814000676 OR Practitioner - Critical Care (Intensivists) 9436305018 Reassigns benefits to 4 organizations
I20210519001673 MT Practitioner - Critical Care (Intensivists) 9436305018 Reassigns benefits to 2 organizations
I20251030003501 AZ Practitioner - Internal Medicine 9436305018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Physician Services LLCGroup PAC ID 1254307994, 48 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

1460 G St
Springfield, OR 97477-4112
Phone (541) 744-8613

15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71961AZMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Sep 17, 2012 Accepting new patients
University Professional Services CurrentSince Sep 17, 2012 Accepting new patients
Tuality Medical Group LLC CurrentSince Jul 18, 2018 Accepting new patients
McKenzie Physician Services LLC CurrentSince Dec 6, 2023 Accepting new patients
University Professional Services Current Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Oct 15, 2025 Accepting new patients
Sound Physicians Intensivists of Washington PLLC Critical Care Medicine CurrentSince Sep 23, 2023 Accepting new patients
Tuality Medical Group LLC CurrentSince Jul 18, 2018 Accepting new patients
Hospitalist Medicine Physicians of Montana - Missoula PC Critical Care Medicine CurrentSince Jul 12, 2023 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#67
Portland, OR 97239
Phone (503) 494-1620

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

Interoperability endpoints

  • Direct secure messaging: jpak062@yourcarecommunity.org
  • Direct secure messaging: jpak1586289@nychhc.direct-ci.com
  • Direct secure messaging: jpakmd768@direct.ohsu.edu

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1467657056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAIL CODE UHN67",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "206-369-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_2": "Mail Code UHN67",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 NE Mother Joseph Pl Ste 330",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643288",
            "country_code": "US",
            "telephone_number": "360-514-2990",
            "fax_number": "360-514-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAK",
        "first_name": "JONATHAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "71961",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD61099515",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "MD153593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.