GREGORY PARK (M.D.) – Internal Medicine Physician, NPI 1861497596

GREGORY PARK (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in INTERNAL MEDICINE, MEDICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. MD3915 (HI). The NPI Number for GREGORY PARK (M.D.) is 1861497596

Main info

Male
51 Years Of Experience
Name
GREGORY PARK (M.D.)
NPI
1861497596
Phone
(808) 521-1317
Address
SEVEN WATERFRONT PLAZA
Enumeration Date
17 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
8088759095
Graduation Year
1975 (51 years ago)
PAC ID
3870483589
Group Practice PAC ID
7618071101
Professional Enrollment ID
I20040614001422
Address ID
HI967536502WA161XXPLXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

818 INTERNAL MEDICINE in HI

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Provider Addresses for GREGORY PARK (M.D.)

  • SEVEN WATERFRONT PLAZA

    500 ALA MOANA BLVD., SUITE 300

    HONOLULU, HI 96813

    Phone: (808) 521-1317

    Fax: (808) 533-1482

    Type: Mailing

  • 30, North Church Street, Happy Valley, Wailuku, Maui County, Hawaii, 96793, United States

    WAILUKU, HI 967931600

    Phone: (808) 244-7627

    Fax: (808) 242-6696

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $320.

Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($167).

Total Amount

$320

General + Research + Ownership

Payments

10

Total payment records

General Amount

$320

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$167
Lilly USA, LLC$154
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: 2004-06-14

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
I20040614001422IInternal MedicineHITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes909233$0
96372Injection of drug or substance under skin or into muscle7824$0
90688Influenza vaccine, quadrivalent, 0.5 ml dosage5654$0
G0008Administration of influenza virus vaccine5553$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4332$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: 7618071101View full group profile
NameSpecialtyState
Internal MedicineHI

Reviews

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Frequently asked questions

Does GREGORY PARK (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GREGORY PARK (M.D.) uses 1861497596.
Does the file indicate GREGORY PARK (M.D.) is practicing under active NPI?
Directory data currently reports GREGORY PARK (M.D.) as active.
What is GREGORY PARK (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for GREGORY PARK (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for GREGORY PARK (M.D.)?
GREGORY PARK (M.D.)'s geographic hint is Honolulu, Hawaii in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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