HYEYOUNG YEOM PARK (MD) – Physical Medicine & Rehabilitation Physician, NPI 1639638794
Physical Medicine & Rehabilitation Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
130 PHYSICAL MEDICINE AND REHABILITATION in NV
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Provider Addresses for HYEYOUNG YEOM PARK (MD)
West Sunset Road, Paradise, Clark County, Nevada, 89118, United States
LAS VEGAS, NV 891484903
Phone: (702) 916-6904
Type: Location
840 S RANCHO DR STE 4-740
LAS VEGAS, NV 891063837
Phone: (702) 242-6911
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $129.
Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($76).
Total Amount
$129
General + Research + Ownership
Payments
3
Total payment records
General Amount
$129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $76 |
| Ipsen Biopharmaceuticals, Inc | $30 |
| COLOPLAST CORP | $23 |
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: 2023-10-04
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 |
|---|---|---|---|---|
| I20231004003249 | I | Physical Medicine And Rehabilitation | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | CA | |
| Physician Assistant | NV | |
| Physical Medicine And Rehabilitation | IN | |
| Nurse Practitioner | NV | |
| Physical Medicine And Rehabilitation | CO | |
| Physical Medicine And Rehabilitation | AZ | |
| Nurse Practitioner | NV | |
| Physical Medicine And Rehabilitation | NY | |
| Physical Medicine And Rehabilitation | PA | |
| Physical Medicine And Rehabilitation | NV |
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