Active NPI
Eric J Park, MD
- Hospitalist Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- D60117
- Practice address
- 8600 Old Georgetown Rd
Bethesda, MD 20814-1422 - Phone
- (301) 896-3100
- Fax
- (301) 581-0077
- NPI assigned
- Nov 1, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0060117 | MD | |
| Hospitalist Physician | 208M00000X | D60117 | MD | Primary |
Addresses
Primary practice location
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Mailing address
PO Box 791372
Baltimore, MD 21279-1372
Phone (301) 608-8375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415096100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Maryland School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 80.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0060117 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians, Inc | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists PA | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Suburban Hospital, Inc. | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
6410 Rockledge Dr
Ste 504
Bethesda, MD 20817
Phone (301) 493-8500
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412
Interoperability endpoints
- epark158710@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
Internal Medicine
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359972
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1700858586
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1932190766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791372",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212791372",
"telephone_number": "301-608-8375",
"fax_number": "301-608-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 OLD GEORGETOWN RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141422",
"telephone_number": "301-896-3100",
"fax_number": "301-581-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ERIC",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-01",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0060117",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D60117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "415096100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.