Joon Sung Park, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301074665 Issued in MI

Practice address

521 E Michigan Ave
Suite 201
Kalamazoo, MI 49007-3889

Phone

(269) 226-2656

Fax

(269) 349-7450

NPI assigned

Mar 28, 2007

Last updated

Nov 9, 2023By the provider in NPPES

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

NephrologyAlso: Internal Medicine

Education

University of Vermont College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC - Oshtemo Dialysis facility, Kalamazoo, MI, CCN 232560
• Fresenius Medical Care - Hastings Dialysis facility, Hastings, MI, CCN 232683
• FMC - Coldwater Dialysis facility, Coldwater, MI, CCN 232508
• Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
• Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
• Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339
• Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
• Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Paragon Health, PC

  dba Nephrology Center

  • Nephrology Physician
  • Kalamazoo, MI
  • NPI 1083678767
  Medicare reassignment Care Compare group NPD
• Paragon Health PC

  dba Kalamazoo Pediatrics

  • Pediatrics Physician
  • Portage, MI
  • NPI 1427848845
  NPD
• Paragon Health, PC

  dba Paragon Ophthalmology

  • Ophthalmology Physician
  • Kalamazoo, MI
  • NPI 1275582249
  NPD (past)
• Renal Care Group Southwest Michigan, LLC

  dba RCG Allegan

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Allegan, MI
  • NPI 1760423628
  NPD (past)

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

• Bio-Medical Applications of Michigan, Inc.

  dba Fresenius Medical Care Hastings

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hastings, MI
  • NPI 1144599325

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care Group Southwest Michigan, LLC

  dba RCG Coldwater

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Coldwater, MI
  • NPI 1326080789

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care Group Southwest Michigan, LLC

  dba RCG Oshtemo

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kalamazoo, MI
  • NPI 1811939622

  Dialysis facility

  Care Compare affiliation Name & address match
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Care Compare affiliation
• Bronson Battle Creek Hospital

  • General Acute Care Hospital
  • Battle Creek, MI
  • NPI 1083644579
  Care Compare affiliation
• Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1831116441
  Care Compare affiliation
• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639
  Care Compare affiliation
• Pennock Hospital

  dba Corewell Health Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1699894709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MICHIGAN AVE",
            "address_2": "SUITE 201",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073889",
            "telephone_number": "269-226-2656",
            "fax_number": "269-349-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MICHIGAN AVE",
            "address_2": "SUITE 201",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073889",
            "telephone_number": "269-226-2656",
            "fax_number": "269-349-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 E Chicago St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490362086",
            "country_code": "US",
            "telephone_number": "269-349-6759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 Roosevelt Ave E",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490372810",
            "country_code": "US",
            "telephone_number": "269-349-6759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 W State St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MI",
            "postal_code": "490589712",
            "country_code": "US",
            "telephone_number": "269-349-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOON",
        "middle_name": "SUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301074665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C97618",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "1106318621",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nephcenter@directaddress.net",
            "affiliation": "N",
            "address_1": "521 E Michigan Ave",
            "address_2": "Suite 201",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490073889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raxit Parikh, DO
• Mikaela Parish
• Park Place Counseling & Associate PLC
• Grace B. Park
• Gwendolyn Park
• Tami Lynn Parke, LPC LLP
• Jayla Parker-Vincent
• Daniel Parker, PT, DPT
• Fatia Parker
• Jolynn Parker

• Nephrology Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.