Individual provider Active NPI

Suyi Park, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1932177904
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0059014 Issued in MD
Practice address
700 Washington Blvd
Baltimore, MD 21230-2350
Phone
(410) 539-3360
Fax
(410) 752-3340
NPI assigned
Mar 8, 2006
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0059014 MD Primary

Addresses

Primary practice location

700 Washington Blvd
Baltimore, MD 21230-2350

Mailing address

700 Washington Blvd
Baltimore, MD 21230-2350
Phone (410) 539-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20040415001042 MD Practitioner - Internal Medicine 6709871189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suyi Park MD and Associates PAGroup PAC ID 2062478159, 3 clinicians

Practice addresses (Care Compare)

700 Washington Blvd
Baltimore, MD 21230-2350
Phone (410) 225-9696

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059014MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suyi Park, MD & Associates, PA Internal Medicine CurrentSince Jul 21, 2004 Accepting new patients
Lochearn Nursing Home LLC Past Accepting new patients
Washington Village Family Care Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

700 Washington Blvd
Baltimore, MD 21230
Phone (410) 343-4343

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1932177904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302350",
            "telephone_number": "410-539-3360",
            "fax_number": "410-752-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302350",
            "telephone_number": "410-539-3360",
            "fax_number": "410-752-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUYI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0059014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.