DR. SU YONG PAK (M.D.) – Internal Medicine Physician, NPI 1437169372

DR. SU YONG PAK (M.D.) is a healthcare provider. based in La palma, California. specializing in DIAGNOSTIC RADIOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A34079 (CA). The NPI Number for DR. SU YONG PAK (M.D.) is 1437169372

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. SU YONG PAK (M.D.)
NPI
1437169372
Phone
(503) 657-8663
Address
5451 LA PALMA AVE
Enumeration Date
9 August 2006
Last Update Date
2 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7145233212
Graduation Year
1972 (54 years ago)
PAC ID
2062408602
Professional Enrollment ID
I20050322000701
Address ID
CA906231729LA5451XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

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Provider Addresses for DR. SU YONG PAK (M.D.)

  • 5451, La Palma Avenue, La Palma, Orange County, California, 90623, United States

    STE 14

    LA PALMA, CA 906231729

    Phone: (503) 657-8663

    Fax: (503) 723-3180

    Type: Mailing

  • 6925, 216th Street Southwest, Lynnwood, Snohomish County, Washington, 98036, United States

    LYNNWOOD, WA 980367358

    Phone: (800) 248-9729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $439.

Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($135).

Total Amount

$439

General + Research + Ownership

Payments

13

Total payment records

General Amount

$439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-22

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
I20050322000701IInternal MedicineCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,205314$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes32269$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12823$0
J0696Injection, ceftriaxone sodium, per 250 mg10418$0
71046X-ray of chest, 2 views8875$0
View full utilization report →

Insurance plans in this area (ZIP 90623)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. SU YONG PAK (M.D.)?
NPI 1437169372 is assigned to DR. SU YONG PAK (M.D.) under the national enumeration system.
Is DR. SU YONG PAK (M.D.) active in the national directory?
DR. SU YONG PAK (M.D.)'s public NPI profile is in an active state.
What does DR. SU YONG PAK (M.D.) treat or focus on?
Patients typically see DR. SU YONG PAK (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SU YONG PAK (M.D.)'s primary listing?
We display La Palma, California because that is what the record indicates for DR. SU YONG PAK (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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