Sungnan Park-Davis, MD

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

4301076848 Issued in MI

Practice address

30880 Beck Rd
Novi, MI 48377-1000

Phone

(248) 926-0009

Fax

(248) 956-9198

NPI assigned

Sep 29, 2006

Last updated

Dec 18, 2025By the provider in NPPES

Sex

Female

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

Medicare fee-for-service enrollment

Enrolled in MI

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: Pediatric Medicine

Education

Wayne State University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

S Park-Davis HealthcareGroup PAC ID 6204126857, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13300/brand/1/csg/1/fhir/r4
• Direct secure messaging: sungnan.park-davis.1@13300.direct.athenahealth.com

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.

• S Park-Davis Healthcare

  dba Comprehensive Integrated Health Care

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1649631813
  Medicare reassignment Care Compare group NPD Authorized official
• Integrated & Preventative Health Care Associates PLC

  • Family Medicine Physician
  • West Bloomfield, MI
  • NPI 1033570577
  NPD
• Toni Ballitch Trate DO PC

  • General Practice Physician
  • Farmington Hills, MI
  • NPI 1932396538
  NPD (past)

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

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1932291432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30880 BECK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771000",
            "telephone_number": "248-926-0009",
            "fax_number": "248-956-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30880 BECK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771000",
            "telephone_number": "248-926-0009",
            "fax_number": "248-956-9198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Haggerty Rd Ste 2140",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483232191",
            "country_code": "US",
            "telephone_number": "248-669-5050",
            "fax_number": "248-669-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK-DAVIS",
        "first_name": "SUNGNAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301076848",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MI",
            "license": "4301076848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4675192",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kavita Ketul Parikh, RPH
• Manisha Parikh, MD
• Ruth Paris
• Park Internal Medicine PC
• Park Place Vein Center
• Greta Park
• Rosemary Haesung Park, MD
• SE-Min John Park, LAC
• Donna Marie Parker-Morgan
• Jeanette Parker

• Adolescent Medicine (Internal Medicine) Physician in Novi, MI
• Providers in Novi, MI by specialty
• Adolescent Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.