DR. JOHN STANITSKI PARK (M.D.) – Diagnostic Radiology Physician, NPI 1194739375

DR. JOHN STANITSKI PARK (M.D.) is a healthcare provider. based in Annapolis, Maryland. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A95402 (CA). The NPI Number for DR. JOHN STANITSKI PARK (M.D.) is 1194739375

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN STANITSKI PARK (M.D.)
NPI
1194739375
Phone
(410) 266-2770
Address
2002 MEDICAL PKWY
Enumeration Date
27 July 2006
Last Update Date
16 December 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
4434813260
Graduation Year
1999 (27 years ago)
PAC ID
1456352814
Group Practice PAC ID
8729054598
Professional Enrollment ID
I20070827000732
Address ID
MD207163179BO4175XCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,084 DIAGNOSTIC RADIOLOGY in MD

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Provider Addresses for DR. JOHN STANITSKI PARK (M.D.)

  • Lesly and Pat Sajak Pavilion, 2002, Medical Parkway, Loretta Heights, Bestgate Terrace, Annapolis, Anne Arundel County, Maryland, 21401, United States

    SUITE 235

    ANNAPOLIS, MD 214013046

    Phone: (410) 266-2770

    Fax: (410) 841-6251

    Mailing address matches the actual address.

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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: AngioDynamics, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AngioDynamics, Inc.$17
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: 2007-08-27

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
I20070817000305IDiagnostic RadiologyMDTBD
I20070827000732IDiagnostic RadiologyDCTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml7,37041$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2,71032$0
71045X-ray of chest, 1 view544497$0
70450Ct scan head or brain without contrast316309$0
71046X-ray of chest, 2 views306294$0
View full utilization report →

Insurance plans in this area (ZIP 21401)

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Provider's Procedures

DR. JOHN STANITSKI PARK (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMD71010X-ray of chest, 1 view, front521464
DIAGNOSTIC RADIOLOGYMD71250CT scan chest9089
DIAGNOSTIC RADIOLOGYMD73110X-ray of wrist, minimum of 3 views1812
DIAGNOSTIC RADIOLOGYMD73562X-ray of knee, 3 views1512
DIAGNOSTIC RADIOLOGYMD73630X-ray of foot, minimum of 3 views4637
DIAGNOSTIC RADIOLOGYMD74177CT scan of abdomen and pelvis with contrast7373
DIAGNOSTIC RADIOLOGYMD78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1313
DIAGNOSTIC RADIOLOGYMD78815Nuclear medicine study with CT imaging skull base to mid-thigh1414
DIAGNOSTIC RADIOLOGYMD93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers5955

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: 8729054598View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyMD
Diagnostic RadiologyMD
Interventional Radiology, Diagnostic RadiologyMD
Diagnostic RadiologyMD
-MD
Diagnostic RadiologyPA
Interventional Radiology, Diagnostic RadiologyMD
Interventional Radiology, Diagnostic RadiologyMD
Diagnostic RadiologyMD
Diagnostic RadiologyMD

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Frequently asked questions

How is DR. JOHN STANITSKI PARK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JOHN STANITSKI PARK (M.D.) with NPI 1194739375.
Is DR. JOHN STANITSKI PARK (M.D.) still practicing?
DR. JOHN STANITSKI PARK (M.D.) is currently listed as active in the public NPI registry.
What is DR. JOHN STANITSKI PARK (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DR. JOHN STANITSKI PARK (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOHN STANITSKI PARK (M.D.)?
DR. JOHN STANITSKI PARK (M.D.)'s geographic hint is Annapolis, Maryland in our summary view.
Is the information about DR. JOHN STANITSKI PARK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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