Active NPI
Ralph Han Park, M.D.
- Surgery Physician
- Lawrence, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 04-28712
- Practice address
- 330 Arkansas St Ste 202
Lawrence, KS 66044-1394 - Phone
- (785) 505-2200
- Fax
- (785) 505-5237
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04-28712 | KS | Primary |
Addresses
Primary practice location
330 Arkansas St Ste 202
Lawrence, KS 66044-1394
Mailing address
325 Maine Street
Mso Library
Lawrence, KS 66044-1394
Phone (785) 505-2988
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200252200A | Medicaid | OK | |
| 100421430A | Medicaid | KS | |
| 067260 | Other | KS | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Arkansas St
Suite 202
Lawrence, KS 66044-1394
Phone (785) 505-2200
Hospital & facility affiliations
- LMH
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 79.76
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 12 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 23 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Physicians LLC | Surgery | Current | Accepting new patients |
| Lawrence Physicians LLC | Surgery | Current | Accepting new patients |
| Lawrence Physicians LLC | Current | Accepting new patients | |
| The Internal Medicine Group PA | Past | Accepting new patients |
Locations
330 Arkansas St
Ste 202
Lawrence, KS 66044
Phone (785) 505-2200
1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Lawrence, KS
- NPI 1841607090
-
- Surgery Physician
- Lawrence, KS
- NPI 1356758502
-
- Surgery Physician
- Lawrence, KS
- NPI 1528603719
-
- Internal Medicine Physician
- Lawrence, KS
- NPI 1235136714
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1871540195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAINE STREET",
"address_2": "MSO LIBRARY",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441394",
"telephone_number": "785-505-2988",
"fax_number": "785-505-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 ARKANSAS ST STE 202",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441394",
"telephone_number": "785-505-2200",
"fax_number": "785-505-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "RALPH",
"middle_name": "HAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2024-04-23",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "04-28712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200252200A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100421430A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "067260",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.