Individual provider Active NPI

William Park, MD

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1477518934
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-29130 Issued in KS
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

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103059OtherKSBLUE CROSS BLUE SHIELD
411471OtherKSFIRSTGUARD
100397190BMedicaidKS
203466OtherKSHEALTH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128001079 KS Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3072792522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric 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
Carepoint Hospital Medicine Kansas LLCGroup PAC ID 5294018057, 46 clinicians

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 Hospice, Wichita, KS, CCN 171585
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
  • William Newton Hospital Hospital, Winfield, KS, CCN 171383

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29130KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Hospital Medicine Kansas LLC Hospitalist CurrentSince Jan 1, 2017 Accepting new patients
Hutchinson Regional Medical Center, Inc. Hospitalist CurrentSince Jan 15, 2017 Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Jan 15, 2017 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Carepoint Hospital Medicine Kansas LLC Hospitalist PastSince Jun 27, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.