CHANHI PARK (M.D.) – Diagnostic Radiology Physician, NPI 1881677854
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHANHI PARK (M.D.)
6132 S Hampshire Ct
Windermere, FL 347865622
Phone: (321) 281-3039
Fax: (407) 876-8960
Type: Location
2602, Buford Road, Grand Summit, Bon Air, Chesterfield County, Virginia, 23235, United States
NORTH CHESTERFIELD, VA 232353422
Phone: (804) 272-8806
Fax: (804) 272-2909
Type: Mailing
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: 2017-10-24
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 |
|---|---|---|---|---|
| I20171024000492 | I | Diagnostic Radiology | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 1,246 | 1,246 | $0 |
| 77067 | Screening mammography | 1,244 | 1,244 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 163 | 162 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 136 | 136 | $0 |
| 77066 | Diagnostic mammography of both breasts | 102 | 102 | $0 |
Insurance plans in this area (ZIP 34786)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Diagnostic Radiology, Interventional Radiology | VA | |
| Diagnostic Radiology | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| - | VA |
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