DR. DOROTHY J. PARK (M.D.) – Hematology & Oncology Physician, NPI 1083610596

DR. DOROTHY J. PARK (M.D.) is a healthcare provider. based in Beverly hills, California. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. G64946 (CA). The NPI Number for DR. DOROTHY J. PARK (M.D.) is 1083610596

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOROTHY J. PARK (M.D.)
NPI
1083610596
Phone
(310) 888-8680
Address
9090 WILSHIRE BLVD
Enumeration Date
21 June 2005
Last Update Date
30 April 2008

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
3104230674
Graduation Year
1987 (39 years ago)
PAC ID
6709887169
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20070126000690
Address ID
CA900486111LO8635XSTXX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,531 HEMATOLOGY/ONCOLOGY in CA

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Provider Addresses for DR. DOROTHY J. PARK (M.D.)

  • Wilshire Boulevard, Beverly Hills, Los Angeles County, California, 90048, United States

    STE 200

    BEVERLY HILLS, CA 902111850

    Phone: (310) 888-8680

    Fax: (310) 888-1886

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-01-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070126000690IHematology/OncologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes575203$0
36415Insertion of needle into vein for collection of blood sample392192$0
99213Established patient office or other outpatient visit, 20-29 minutes10362$0
96372Injection of drug or substance under skin or into muscle8012$0
J3489Injection, zoledronic acid, 1 mg6012$0
View full utilization report →

Insurance plans in this area (ZIP 90211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
A N E S T H E S I O L O G YNV
-CA
-CA
-CA
H O S P I T A L I S TCA
Infectious DiseaseCA
Plastic And Reconstructive SurgeryCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

Is there an official ID for DR. DOROTHY J. PARK (M.D.) in U.S. healthcare records?
The official identifier for DR. DOROTHY J. PARK (M.D.) is NPI 1083610596.
Is DR. DOROTHY J. PARK (M.D.) shown as active in public data?
Registry records indicate DR. DOROTHY J. PARK (M.D.) maintains an active NPI.
What kind of doctor is DR. DOROTHY J. PARK (M.D.)?
DR. DOROTHY J. PARK (M.D.) is associated with Hematology & Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DOROTHY J. PARK (M.D.)?
Travel planning: use Beverly Hills, California as the reference point for DR. DOROTHY J. PARK (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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