Individual provider Active NPI

Rachel Hee Young Park, MD

  • Plastic and Reconstructive Surgery Physician
  • Alexandria, VA
National Provider Identifier
1659832533
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0101284720 Issued in VA
Practice address
4660 Kenmore Ave Ste 220
Alexandria, VA 22304-1306
Phone
(703) 832-4000
Fax
(703) 832-4001
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 0101284720 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4660 Kenmore Ave Ste 220
Alexandria, VA 22304-1306

Mailing address

4660 Kenmore Ave Ste 220
Alexandria, VA 22304-1306
Phone (703) 832-4000

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-5078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250708002939 VA Practitioner - Plastic and Reconstructive Surgery 5193053866 Reassigns benefits to 1 organization
I20250728001578 DC Practitioner - Plastic and Reconstructive Surgery 5193053866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 Opitz Blvd
Suite 250
Woodbridge, VA 22191-3351
Phone (703) 832-4000

2296 Opitz Blvd
Suite 280
Woodbridge, VA 22191-3353

4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1306
Phone (703) 888-2034

8100 Boone Blvd
Suite 250
Vienna, VA 22182-2642
Phone (703) 832-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101284720VAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Plastic Surgery, LLC CurrentSince Aug 1, 2025 Accepting new patients
Affiliates in Plastic Surgery, LLC Plastic and Reconstructive Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

4660 Kenmore Ave
Ste 220
Alexandria, VA 22304
Phone (703) 832-4000

6801 Whittier Ave
Ste 301
McLean, VA 22101
Phone (703) 505-0444

1800 Town Center Dr
Ste 312
Reston, VA 20190
Phone (703) 796-0370

2200 Opitz Blvd
Ste 250
Woodbridge, VA 22191
Phone (703) 494-5858

Interoperability endpoints

  • Direct secure messaging: rpark423833@direct.healthsystem.virginia.edu

Organizations & group practices 2

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 4

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1659832533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-832-4000",
            "fax_number": "703-832-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-832-4000",
            "fax_number": "703-832-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-5078",
            "fax_number": "434-924-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "RACHEL",
        "middle_name": "HEE YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101284720",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.