Individual provider Active NPI

Suki Lilliann Parks, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1619002508
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002105 Issued in MD
Practice address
2401 W Belvedere Ave
Department Radiation Oncology, Mt Pleasant, GRND
Baltimore, MD 21215-5216
Phone
(410) 601-5405
Fax
(410) 601-6307
NPI assigned
Feb 22, 2007
Last updated
Jan 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002105 MD Primary

Addresses

Primary practice location

2401 W Belvedere Ave
Department Radiation Oncology, Mt Pleasant, GRND
Baltimore, MD 21215-5216

Mailing address

2401 W Belvedere Ave
Department Radiation Oncology, Mt Pleasant, GRND
Baltimore, MD 21215-5216
Phone (410) 601-5405

Other names 1

  • Lillian Suki Parks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006000919 MD Practitioner - Physician Assistant 4789992017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

6565 N Charles St
Baltimore, MD 21204-6808

6569 N Charles St
Baltimore, MD 21204-5816

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

6715 N Charles St
Baltimore, MD 21204-6822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002105MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Sep 16, 2015 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Aug 22, 2015 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Sinai Hospital of Baltimore, Inc CurrentSince Aug 22, 2015 Accepting new patients
Midatlantic Cardiovascular Associates PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients

Locations

6715 N Charles St
Ste 114
Baltimore, MD 21204
Phone (443) 849-3051

2401 W Belvedere Ave
Baltimore, MD 21215

1838 Greene Tree Rd
Ste 535
Pikesville, MD 21208
Phone (410) 469-4937

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6715 N Charles St
Ste 125
Towson, MD 21204
Phone (443) 849-2765

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1619002508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "DEPARTMENT RADIATION ONCOLOGY, MT PLEASANT, GRND",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5405",
            "fax_number": "410-601-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "DEPARTMENT RADIATION ONCOLOGY, MT PLEASANT, GRND",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5405",
            "fax_number": "410-601-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "SUKI",
        "middle_name": "LILLIANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "PARKS",
            "middle_name": "SUKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.