AMY PARK (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1053328625

AMY PARK (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 35.088057 (OH). The NPI Number for AMY PARK (MD) is 1053328625

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
AMY PARK (MD)
NPI
1053328625
Phone
(216) 444-6277
Address
9500 EUCLID AVE # DESKA81
Enumeration Date
3 August 2006
Last Update Date
31 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
2164442200
Graduation Year
2002 (24 years ago)
PAC ID
6204830383
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20060901000105
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,818 OBSTETRICS/GYNECOLOGY in OH

Provider Addresses for AMY PARK (MD)

  • 9500 EUCLID AVE # DESKA81

    CLEVELAND, OH 441952927

    Phone: (216) 444-6277

    Type: Location

  • 106, Irving Street Northwest, Washington, Washington, D.C., 20010, United States

    SUITE 405 SOUTH

    WASHINGTON, DC 200102927

    Phone: (202) 877-6526

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,269.

Total Amount is formed as General ($1,269) + Research ($0) + Ownership ($0) = $1,269.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Boston Scientific Corporation ($567).

Total Amount

$1,269

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2009-07-28

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
I20060901000105IObstetrics/GynecologyOHTBD
I20090728000559IObstetrics/GynecologyDCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7873$0
51741Electronic assessment of bladder emptying6666$0
51728Complex measurement of pressure of urine flow in bladder with voiding pressure studies6565$0
51797Insertion of device into abdomen with pressure and urine flow rate study6565$0
51784Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings6060$0
View full utilization report →

Insurance plans in this area (ZIP 44195)

Loading plans...

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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check AMY PARK (MD) using NPI 1053328625?
NPI 1053328625 belongs to AMY PARK (MD); compare other details if you need extra assurance.
Is AMY PARK (MD) still an active registrant?
AMY PARK (MD) carries an active NPI according to the public dataset.
What area of care is associated with AMY PARK (MD)?
AMY PARK (MD)'s record emphasizes Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMY PARK (MD)?
Travel planning: use Cleveland, Ohio as the reference point for AMY PARK (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

DR. TRISTI WOOD METCALF (M.D.)

Obstetrics & Gynecology Physician
2401 S 31st St
NPI: 1306806773

JOHN E JELOVSEK (MD)

Obstetrics & Gynecology Physician
1200 NAVAHO DR
NPI: 1235192170

HOWARD B GOLDMAN (MD)

Urology Physician
6000, West Creek Road, Independence, Cuyahoga County, Ohio, 44131, United States
NPI: 1154386324

SANDIP P VASAVADA (MD)

Urology Physician
6000, West Creek Road, Independence, Cuyahoga County, Ohio, 44131, United States
NPI: 1356306328

MARIE FIDELA PARAISO (MD)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
6000, West Creek Road, Independence, Cuyahoga County, Ohio, 44131, United States
NPI: 1669417770
11100 EUCLID AVE # MAC5034
NPI: 1568488807

BERI M RIDGEWAY (M.D.)

Obstetrics & Gynecology Physician
6000, West Creek Road, Independence, Cuyahoga County, Ohio, 44131, United States
NPI: 1083620421

DR. BOGDAN ORASANU (M.D.)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
11100 EUCLID AVE
NPI: 1790809010

CECILE AUDREY FERRANDO

Obstetrics & Gynecology Physician
3855 Health Sciences Dr
NPI: 1255592325