MR. JOONHO PARK (M.D.) – Nephrology Physician, NPI 1235576166
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,168 NEPHROLOGY in TX
Provider Addresses for MR. JOONHO PARK (M.D.)
20 CLENT RD APT 2P
GREAT NECK, NY 110215812
Phone: (516) 562-8200
Type: Mailing
3571 W WHEATLAND RD STE 101
DALLAS, TX 752373461
Phone: (972) 274-5555
Fax: (972) 274-5663
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $2,056.
Total Amount is formed as General ($2,056) + Research ($0) + Ownership ($0) = $2,056.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Baxter Healthcare ($249).
Total Amount
$2,056
General + Research + Ownership
Payments
60
Total payment records
General Amount
$2,056
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $249 |
| Travere Therapeutics, Inc. | $247 |
| Amgen Inc. | $156 |
| GlaxoSmithKline, LLC. | $146 |
| AstraZeneca Pharmaceuticals LP | $146 |
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: 2020-01-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180319001048 | I | Nephrology | NY | TBD |
| I20200108000415 | I | Nephrology | TX | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 383 | 105 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 213 | 63 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 139 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 75 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 116 | 30 | $0 |
Insurance plans in this area (ZIP 11021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| N E P H R O L O G Y | KS | |
| Physician Assistant | UT | |
| Nephrology, Internal Medicine | PA | |
| Nurse Practitioner | TX | |
| Internal Medicine, Nephrology | TX | |
| Nephrology, Internal Medicine | TX | |
| N E P H R O L O G Y | OK | |
| N E P H R O L O G Y | TX | |
| Nephrology, Internal Medicine | TX |
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