YOUNG KI PARK (D.O.) – Family Medicine Physician, NPI 1447256417
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for YOUNG KI PARK (D.O.)
3660, Guion Road, Venerable Flackville, Indianapolis, Marion, Indiana, 46222, United States
STE 320
INDIANAPOLIS, IN 462221691
Phone: (317) 613-3064
Fax: (317) 613-3065
Type: Location
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 462502890
Phone:
Type: Mailing
14188A N MERIDIAN ST STE 200
CARMEL, IN 46032
Phone: (317) 957-9510
Type: Location
3660 Guion Rd
Ste 320
Indianapolis, IN 462221691
Phone: (317) 613-3064
Fax: (317) 613-3065
Type: Location
11846 Lakeside Dr
Fishers, IN 460382325
Phone: (317) 355-6026
Type: Location
7979 N Shadeland Ave Ste 350
Indianapolis, IN 462502042
Phone: (317) 957-9510
Fax: (317) 957-9984
Type: Location
7979 N SHADELAND AVE STE 350
INDIANAPOLIS, IN 462502042
Phone: (317) 957-9510
Fax: (317) 957-9984
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: 2010-03-24
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 |
|---|---|---|---|---|
| I20100324000432 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 294 | 116 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 278 | 29 | $0 |
| 98925 | Osteopathic manipulative treatment, 1-2 body regions | 226 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 76 | $0 |
| 97810 | Acupuncture, initial 15 minutes | 57 | 20 | $0 |
Insurance plans in this area (ZIP 46222)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | NV | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Geriatric Medicine | IN | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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