Active NPI
An NA Park, M.D.
- Infectious Disease Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036130462
- Practice address
- 801 Macarthur Blvd Ste 401
Munster, IN 46321-2919 - Phone
- (219) 440-5920
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 036130462 | IL | Primary |
Addresses
Primary practice location
801 Macarthur Blvd Ste 401
Munster, IN 46321-2919
Mailing address
801 Macarthur Blvd Ste 401
Munster, IN 46321-2919
Phone (219) 440-5920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036130462 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170329002072 | IN | Practitioner - Infectious Disease | 6901052810 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Network Inc
Practice addresses (Care Compare)
801 Macarthur Blvd
Suite 402
Munster, IN 46321-2919
Phone (219) 836-4900
Hospital & facility affiliations
- Community Hospital
- St Catherine Hospital Inc
- St Mary Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Dylan Slotar MD PC | Infectious Disease | Past | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| St Mary Medical Center Inc | Past | Accepting new patients |
Locations
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
801 MacArthur Blvd
Ste 401
Munster, IN 46321
Phone (219) 836-2860
800 MacArthur Blvd
Ste 28
Munster, IN 46321
Phone (219) 440-5290
801 MacArthur Blvd
Ste 402
Munster, IN 46321
Phone (219) 513-0233
Interoperability endpoints
- apark69170@ssdirect.comhs.org
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.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992025563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MACARTHUR BLVD STE 401",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212919",
"telephone_number": "219-440-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MACARTHUR BLVD STE 401",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212919",
"telephone_number": "219-440-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "AN",
"middle_name": "NA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036130462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036130462",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.