Gregory Park, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD3915 Issued in HI

Practice address

30 N Church St
Wailuku, HI 96793-1600

Phone

(808) 244-7627

Fax

(808) 242-6696

NPI assigned

Jun 17, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in HI

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 MedicineAlso: Medical Oncology

Education

Albert Einstein College of Medicine of Yeshiva University, 1975

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Wailea Medical Group LLCGroup PAC ID 7618071101, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Maui Home health agency, Wailuku, HI, CCN 127003
• Bayada Home Health Care Home health agency, Wailuku, HI, CCN 127309
• Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002
• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Merit-based Incentive Payment System (MIPS)

Final score

19.8 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

66

Procedures performed for Medicare patients

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.

• Wailea Medical Group LLC

  • Internal Medicine Physician
  • Wailea, HI
  • NPI 1497769988
  Medicare reassignment Care Compare group NPD Authorized official

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

• B.C.P., Inc.

  • Home Health Agency
  • Wailuku, HI
  • NPI 1942569702
  Care Compare affiliation
• Hale Makua Health Services

  • Home Health Agency
  • Wailuku, HI
  • NPI 1235132242
  Care Compare affiliation
• Maui Health System a Kaiser Foundation Hospitals LLC

  • General Acute Care Hospital
  • Wailuku, HI
  • NPI 1013379460
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861497596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SEVEN WATERFRONT PLAZA",
            "address_2": "500 ALA MOANA BLVD., SUITE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-521-1317",
            "fax_number": "808-533-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N CHURCH ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931600",
            "telephone_number": "808-244-7627",
            "fax_number": "808-242-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD3915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04550602",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paradise Chiropractic, Inc
• Paradise Medical Services LLC
• Parents and Children Together
• Karen Paresa Neizman
• Jay D. Parikh, M.D.
• Andrew William Parlin, M.D.
• Jeana Parsons, RD
• Richard Evan Parsons, MD
• Rosaleen B Parsons, M.D.
• Zahida Parveen, M.D.

• Internal Medicine Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.