Wan Yang Park, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

003100 Issued in NY

Practice address

1425 Portland Ave
Rochester, NY 14621-3001

Phone

(585) 922-5067

Fax

(585) 922-2908

NPI assigned

May 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians

St James HospitalGroup PAC ID 0345154480, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Hospital Hospital, Rochester, NY, CCN 330164
• St James Hospital Hospital, Hornell, NY, CCN 330151
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

Final score

83.2 of 100Reported as group

Quality

60.03

Promoting interoperability

99

Improvement activities

40

Cost

73.33

Merit-based Incentive Payment System (MIPS)

Final score

89.84 of 100Reported as group

Quality

68.36

Promoting interoperability

100

Improvement activities

40

Cost

81.1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Highland Hospital of Rochester

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1902221518
  Medicare reassignment Care Compare group NPD
• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Medicare reassignment Care Compare group NPD
• Internal Medicine Group

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1649220393
  Medicare reassignment NPD
• Highland Hospital of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1376820241
  NPD
• Highland Hospital of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1962725739
  NPD
• Internal Medicine Group

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Rochester, NY
  • NPI 1184255176
  NPD
• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  NPD (past)
• St James Mercy Hospital

  • Chronic Disease Hospital
  • Hornell, NY
  • NPI 1104893320
  NPD (past)

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

• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  Care Compare affiliation
• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1831356211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "address_2": "BOX 242",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-3697",
            "fax_number": "585-922-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-5067",
            "fax_number": "585-922-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WAN",
        "middle_name": "YANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "254792",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "003100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03013605",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wpark46783@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wpark46783@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Park, MD
• Lauren Park
• Nicole Park, RN
• Steve Byongkoo Park, MD
• Sylvia Woo Park, MD
• Ajia Parker
• Caedran Parker, LMSW
• Chisa Parker, MS, RN
• Christine Marie Parker, LPN
• Darryl Bernard Parker Jr., LPN

• Hospitalist Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Hospitalist Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.