DR. JASON SUN-HYUNG PARK (PH.D.) – Pediatric Otolaryngology Physician, NPI 1033504196
Pediatric Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
Provider Addresses for DR. JASON SUN-HYUNG PARK (PH.D.)
2233 Post St Fl 3
San Francisco, CA 941153470
Phone: (415) 353-8753
Type: Location
PO BOX 5371
SEATTLE, WA 981455005
Phone: (206) 987-2105
Type: Mailing
4800 SAND POINT WAY NE
SEATTLE, WA 981053901
Phone: (206) 987-2105
Type: Location
4800 Sand Point Way NE
Seattle, WA 981053901
Phone: (206) 987-2105
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone:
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372323901
Phone: (615) 322-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-05-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($65).
Total Amount
$79
General + Research + Ownership
Payments
2
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $65 |
| Olympus America Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210901003813 | I | Otolaryngology | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology, Interventional Pain Management | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| N E U R O L O G Y | TN | |
| - | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Physician Assistant | MD |
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