KYUNG PARK (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1194083154

KYUNG PARK (M.D.) is a healthcare provider. based in Stamford, Connecticut. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 283588 (NY). The NPI Number for KYUNG PARK (M.D.) is 1194083154

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KYUNG PARK (M.D.)
NPI
1194083154
Phone
(213) 718-6814
Address
272 MAIN ST
Enumeration Date
27 April 2012
Last Update Date
6 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2122637300
Graduation Year
2010 (16 years ago)
PAC ID
5496017790
Group Practice PAC ID
1355232422
Professional Enrollment ID
I20180327000493
Address ID
NY100162708NE240XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

323 PATHOLOGY in CT

Provider Addresses for KYUNG PARK (M.D.)

  • 272 MAIN ST

    2F

    STAMFORD, CT 069013009

    Phone: (213) 718-6814

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-04-17 • Largest payer in this snapshot: ATRICURE, INC. ($60).

Total Amount

$60

General + Research + Ownership

Payments

2

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$60
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: 2018-03-27

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
I20180327000493IPathologyNYTBD

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
G0452Molecular pathology procedure; physician interpretation and report224191$0
88387Pathologist examination, dissection, and preparation of tissue10186$0
G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method9191$0
88307Pathology examination of tissue using a microscope, moderately high complexity7449$0
88305Pathology examination of tissue using a microscope, intermediate complexity6250$0
View full utilization report →

Insurance plans in this area (ZIP 06901)

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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: 1355232422View full group profile
NameSpecialtyState
-PA
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineNY
-NY
A N E S T H E S I O L O G YTX
Physical Therapist In Private PracticeNY
A N E S T H E S I O L O G YNY
-NY
-NY
-NY

Reviews

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Frequently asked questions

What is the standard ID for KYUNG PARK (M.D.) in the U.S.?
In the U.S., KYUNG PARK (M.D.) is identified by NPI 1194083154.
Should I treat KYUNG PARK (M.D.) as an active provider?
Patients and plans typically see KYUNG PARK (M.D.) as active in the national extract.
Which specialty label fits KYUNG PARK (M.D.)?
NPPES ties KYUNG PARK (M.D.) to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KYUNG PARK (M.D.) in Stamford, Connecticut?
For routing, start with Stamford, Connecticut for KYUNG PARK (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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