GUNCHUL PARK (MD) – Internal Medicine Physician, NPI 1023783677

GUNCHUL PARK (MD) is a healthcare provider. based in Vero beach, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME166819 (FL). The NPI Number for GUNCHUL PARK (MD) is 1023783677

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
GUNCHUL PARK (MD)
NPI
1023783677
Phone
(772) 925-8200
Address
827 18TH ST
Enumeration Date
14 August 2021
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724689900
Graduation Year
2016 (10 years ago)
PAC ID
7012356892
Group Practice PAC ID
5496641169
Professional Enrollment ID
I20240412000847
Address ID
FL349509125FO725XX1XXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for GUNCHUL PARK (MD)

  • 827 18TH ST

    VERO BEACH, FL 329606481

    Phone: (772) 925-8200

    Fax: (772) 925-8199

    Type: Mailing

  • 725 N US HIGHWAY 1

    FORT PIERCE, FL 349509125

    Phone: (772) 468-9900

    Fax: (772) 468-2364

    Type: Location

  • 234 E 149th St

    Bronx, NY 104515504

    Phone: (718) 579-5000

    Type: Location

  • 981 37th Pl

    Vero Beach, FL 329606541

    Phone: (772) 257-5785

    Fax: (772) 257-5325

    Type: Location

  • 234 E 149TH ST

    BRONX, NY 104515504

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-04-24 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$20
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: 2024-04-12

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
I20240412000847IInternal MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32960)

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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: 5496641169View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Physician AssistantFL
Internal MedicineFL
Internal Medicine, Infectious DiseaseFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for GUNCHUL PARK (MD)?
GUNCHUL PARK (MD) — NPI 1023783677 — is the standard way to identify this listing.
Is GUNCHUL PARK (MD) listed as active for patients and plans?
The listing shows GUNCHUL PARK (MD) as active in the NPI system.
What is GUNCHUL PARK (MD)'s specialty?
The listing groups GUNCHUL PARK (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does GUNCHUL PARK (MD) list a practice location?
Patients near Vero Beach, Florida may find GUNCHUL PARK (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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