EUNHAE PARK (MD) – Emergency Medicine Physician, NPI 1174518922

EUNHAE PARK (MD) is a healthcare provider. based in Brooklyn, New York. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 217656-1 (NY). The NPI Number for EUNHAE PARK (MD) is 1174518922

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
EUNHAE PARK (MD)
NPI
1174518922
Phone
(718) 245-4790
Address
445 LENOX RD
Enumeration Date
19 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182701000
Graduation Year
1996 (30 years ago)
PAC ID
3678758273
Group Practice PAC ID
7113318122
Professional Enrollment ID
I20110426000168
Address ID
NY112032012BR470XXAVEX300
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

4,917 EMERGENCY MEDICINE in NY

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Provider Addresses for EUNHAE PARK (MD)

  • University Hospital of Brooklyn, 445, Lenox Road, East Flatbush, Brooklyn Community District 17, Brooklyn, Kings County, New York, 11203, United States

    BROOKLYN, NY 112032017

    Phone: (718) 245-4790

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-04-26

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
I20110426000168IEmergency MedicineNYTBD

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
99284Emergency department visit with moderate level of medical decision making1616$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 11203)

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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: 7113318122View full group profile
NameSpecialtyState
Internal MedicineNY
Dermatology, PathologyNY
Internal MedicineNY
N E P H R O L O G YCT
Emergency MedicineNY
Emergency MedicineNY
Internal Medicine, Infectious DiseaseNY
Emergency MedicineNY
Pediatric MedicineNY
Internal MedicineNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for EUNHAE PARK (MD)?
EUNHAE PARK (MD) — NPI 1174518922 — is the standard way to identify this listing.
Is EUNHAE PARK (MD) still practicing?
EUNHAE PARK (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes EUNHAE PARK (MD)?
For research purposes, treat EUNHAE PARK (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for EUNHAE PARK (MD)?
EUNHAE PARK (MD)'s geographic hint is Brooklyn, New York 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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