Heesung Kevin Park, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A183548 Issued in CA

Practice address

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872

Phone

(760) 323-6511

NPI assigned

Apr 10, 2019

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General Surgery

Education

University of New Mexico School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Trauma Surgeons IncGroup PAC ID 0547366106, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hpark261438@direct.llu.edu

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.

• Desert Trauma Surgeons, Inc.

  • Surgical Critical Care Physician
  • Lynwood, CA
  • NPI 1144225426
  Medicare reassignment Care Compare group NPD

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

• Desert Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1619430287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E PASEO EL MIRADOR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624842",
            "telephone_number": "760-323-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Indian Canyon Dr Ste E317",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624809",
            "country_code": "US",
            "telephone_number": "760-656-9661",
            "fax_number": "760-656-9662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "HEESUNG",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A183548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xin Pan
• Matthew Sproul Paparian, DO
• Bret Hart Papas, PT
• Brandon Kevin Pardosi, PA-C
• Jane Di Angelo Pardy
• James M. Park, MD
• Matthew Allen Parke, PMHNP
• Daniel Richard Parker, PH.D.
• Jennifer Parks, CMT
• Abigail Parmelee

• Surgery Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.