DR. HAN PARK (M.D.) – Emergency Medicine Physician, NPI 1144305632

DR. HAN PARK (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 215206 (NY). The NPI Number for DR. HAN PARK (M.D.) is 1144305632

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAN PARK (M.D.)
NPI
1144305632
Phone
(808) 597-8791
Address
770 KAPIOLANI BLVD
Enumeration Date
25 October 2006
Last Update Date
2 March 2023

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
3105407676
Graduation Year
1997 (29 years ago)
PAC ID
6103969597
Group Practice PAC ID
2163329822
Professional Enrollment ID
I20230713001227
Address ID
CA905034607TO4101XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

258 EMERGENCY MEDICINE in HI

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Provider Addresses for DR. HAN PARK (M.D.)

  • 770, Kapiolani Boulevard, Downtown, Hawaii Capital Historic District, Honolulu, Honolulu County, Hawaii, 96813, United States

    SUITE 705

    HONOLULU, HI 968135212

    Phone: (808) 597-8791

    Fax: (808) 597-8781

    Type: Mailing

  • The Queen's Medical Center, 1301, Punchbowl Street, Downtown, Hawaii Capital Historic District, Honolulu, Honolulu County, Hawaii, 96813, United States

    THE QUEEN'S MEDICAL CENTER - EMERGENCY DEPT.

    HONOLULU, HI 968135212

    Phone: (808) 547-4311

    Type: Location

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: 2023-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110505000425IEmergency MedicineHITBD
I20230713001227IEmergency 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
99285Emergency department visit with high level of medical decision making203196$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only129126$0
71045X-ray of chest, 1 view7170$0
99284Emergency department visit with moderate level of medical decision making5453$0
99291Critical care, first 30-74 minutes4039$0
View full utilization report →

Insurance plans in this area (ZIP 96813)

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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: 2163329822View full group profile
NameSpecialtyState
-CA
Emergency Medicine, Pediatric MedicineAZ
Emergency Medicine, Family PracticeCA
Emergency MedicineOK
Emergency MedicineCA
-CA
Nurse PractitionerCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineOK

Reviews

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Frequently asked questions

Is DR. HAN PARK (M.D.) listed with a National Provider Identifier?
Yes — DR. HAN PARK (M.D.) has NPI 1144305632 on file in the registry.
Is there an active status for DR. HAN PARK (M.D.)?
For scheduling context, DR. HAN PARK (M.D.) is shown as active in the registry.
What clinical focus is listed for DR. HAN PARK (M.D.)?
At a glance, DR. HAN PARK (M.D.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. HAN PARK (M.D.) located near Honolulu?
DR. HAN PARK (M.D.) currently maps to Honolulu, Hawaii in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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