Active NPI
William Park, MD
- Internal Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-29130
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 962-3150
- Fax
- (316) 962-7334
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-29130 | KS | Primary |
| Hospitalist Physician | 208M00000X | 04-29130 | KS | |
| Pediatrics Physician | 208000000X | 04-29130 | KS |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
PO Box 47490
Wichita, KS 67201-7490
Phone (316) 962-3150
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103059 | Other | KS | BLUE CROSS BLUE SHIELD |
| 411471 | Other | KS | FIRSTGUARD |
| 100397190B | Medicaid | KS | |
| 203466 | Other | KS | HEALTH PARTNERS OF KANSAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2610 N Woodlawn St
Wesley Woodlawn Hospital
Wichita, KS 67220-2729
Phone (316) 858-2610
Hospital & facility affiliations
- Phoenix Home Care & Hospice
- Wesley Medical Center
- Susan B Allen Memorial Hospital
- William Newton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-29130 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepoint Hospital Medicine Kansas LLC | Hospitalist | Current | Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Hospitalist | Current | Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Current | Accepting new patients | |
| Wesley Medical Center LLC | Past | Accepting new patients | |
| Carepoint Hospital Medicine Kansas LLC | Hospitalist | Past | Accepting new patients |
Locations
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
Interoperability endpoints
- william.park@khindirect.org
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.
-
- Hospitalist Physician
- Wichita, KS
- NPI 1366985996
-
- Hospitalist Physician
- Hutchinson, KS
- NPI 1972605285
-
- Pulmonary Disease Physician
- Hutchinson, KS
- NPI 1659931525
-
- Hospitalist Physician
- Wichita, KS
- NPI 1588234249
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1518273408
-
- General Acute Care Hospital
- El Dorado, KS
- NPI 1700994977
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
-
- Critical Access Hospital
- Winfield, KS
- NPI 1548229149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1477518934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47490",
"city": "WICHITA",
"state": "KS",
"postal_code": "672017490",
"telephone_number": "316-962-3150",
"fax_number": "316-962-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-3150",
"fax_number": "316-962-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-29130",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KS",
"license": "04-29130",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-29130",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "103059",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "411471",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100397190B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS OF KANSAS",
"identifier": "203466",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.