NPIMap

Individual provider Active NPI

Meghan Park, MD

  • Interventional Pain Medicine Physician
  • Buffalo, NY
National Provider Identifier
1699166959
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
304015 Issued in NY
Practice address
462 Grider St FL 3
Buffalo, NY 14215-3021
Phone
(716) 961-6091
NPI assigned
Feb 9, 2015
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 304015 NY Primary

Addresses

Primary practice location

462 Grider St FL 3
Buffalo, NY 14215-3021

Mailing address

36 Woodbury PL
Rochester, NY 14618-3440

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meghan.park@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200814001916 NY Practitioner - Anesthesiology 4981020336 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians

Practice addresses (Care Compare)

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

16 Bank St
Batavia, NY 14020-2250
Phone (585) 344-4800

2655 Ridgeway Ave
Rochester, NY 14626-4296

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304015NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Mar 1, 2022 Accepting new patients
Rochester General Hospital Interventional Pain Medicine CurrentSince Apr 1, 2022 Accepting new patients
Rochester General Hospital Interventional Pain Medicine CurrentSince Apr 1, 2022 Accepting new patients
The Unity Hospital of Rochester Interventional Pain Medicine CurrentSince Apr 1, 2022 Accepting new patients
United Memorial Medical Center Interventional Pain Medicine CurrentSince Apr 1, 2022 Accepting new patients
The Unity Hospital of Rochester Interventional Pain Medicine Current Accepting new patients
United Memorial Medical Center Interventional Pain Medicine Current Accepting new patients
United Memorial Medical Center Past Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

462 Grider St
Fl 3
Buffalo, NY 14215
Phone (716) 898-3627

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

2655 Ridgeway Ave
Rochester, NY 14626
Phone (585) 368-4560

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

Interoperability endpoints

  • Direct secure messaging: mpark345544@direct.rochesterregional.org

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1699166959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOODBURY PL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST FL 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-961-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MEGHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "304015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meghan.park@rochesterregional.org",
            "affiliation": "N",
            "address_1": "2655 Ridgeway Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.