DR. JUN TAE PARK (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1437333515

DR. JUN TAE PARK (M.D.) is a healthcare provider. based in Euclid, Ohio. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 5922577-1205 (UT). The NPI Number for DR. JUN TAE PARK (M.D.) is 1437333515

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUN TAE PARK (M.D.)
NPI
1437333515
Phone
Not provided
Address
24701 EUCLID AVE
Enumeration Date
24 December 2007
Last Update Date
29 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2165935500
Graduation Year
2002 (24 years ago)
PAC ID
8325215346
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20130521000709
Address ID
OH441226046BE3999XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,301 NEUROLOGY in OH

Loading map...

Provider Addresses for DR. JUN TAE PARK (M.D.)

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-7700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $11,398.

Total Amount is formed as General ($11,398) + Research ($0) + Ownership ($0) = $11,398.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Neurelis, Inc. ($6,802).

Total Amount

$11,398

General + Research + Ownership

Payments

26

Total payment records

General Amount

$11,398

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2013-05-21

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
I20130521000709INeurologyOHTBD

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
95819Measurement of brain wave activity (eeg), awake and asleep2828$0
95816Measurement of brain wave activity (eeg), awake and drowsy2020$0
View full utilization report →

Insurance plans in this area (ZIP 44117)

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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

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

Is there an official ID for DR. JUN TAE PARK (M.D.) in U.S. healthcare records?
The official identifier for DR. JUN TAE PARK (M.D.) is NPI 1437333515.
Is DR. JUN TAE PARK (M.D.) still an active registrant?
DR. JUN TAE PARK (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. JUN TAE PARK (M.D.)?
DR. JUN TAE PARK (M.D.) is associated with Neurology with Special Qualifications in Child Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JUN TAE PARK (M.D.)?
Directory geography for DR. JUN TAE PARK (M.D.) centers on Euclid, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

DR. EDWARD CHARLES GILMORE (M.D., PH.D.)

Neurology with Special Qualifications in Child Neurology Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1457324642

MARK S SCHER (MD)

Neurology with Special Qualifications in Child Neurology Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1528088564

NANCY E BASS (MD)

Neurology with Special Qualifications in Child Neurology Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1821019555

DEBORAH RUKIN GOLD (MD)

Neurology with Special Qualifications in Child Neurology Physician
11100 Euclid Ave
NPI: 1922021971

STEPHEN MARICICH (MD)

Neurology with Special Qualifications in Child Neurology Physician
Euclid Avenue, Brooklyn, Kings County, New York, 11208, United States
NPI: 1265512669

DR. ASIM MOHAMMAD SHAHID (M.D.)

Neurology with Special Qualifications in Child Neurology Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1962616730

DR. SUZANNE DENISE DEBROSSE (M.D.)

Clinical Genetics (M.D.) Physician
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
NPI: 1720293160

DR. ELIA MARGARITA PESTANA KNIGHT (M.D.)

Neurology with Special Qualifications in Child Neurology Physician
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
NPI: 1215142674

DARARAT MINGBUNJERDSUK (M.D.)

Neurology with Special Qualifications in Child Neurology Physician
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
NPI: 1154501989