KAMI LEE PARK (MD) – Family Medicine Physician, NPI 1821002775

KAMI LEE PARK (MD) is a healthcare provider. based in Oxford, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35077072P (OH). The NPI Number for KAMI LEE PARK (MD) is 1821002775

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KAMI LEE PARK (MD)
NPI
1821002775
Phone
(513) 523-4195
Address
12 W CHURCH ST
Enumeration Date
28 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5132467000
Graduation Year
1997 (29 years ago)
PAC ID
0042111031
Group Practice PAC ID
1850570458
Professional Enrollment ID
I20040114000001
Address ID
OH452202475CI379XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for KAMI LEE PARK (MD)

  • 12, West Church Street, Oxford, Oxford Township, Butler County, Ohio, 45056, United States

    OXFORD, OH 450561257

    Phone: (513) 523-4195

    Fax: (513) 523-4353

    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 $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-06-01 • Largest payer in this snapshot: 3B Medical, Inc. ($166).

Total Amount

$166

General + Research + Ownership

Payments

1

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
3B Medical, Inc.$166
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: 2007-10-15

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
I20040114000001IFamily PracticeOHTBD
I20071015000208IFamily PracticeINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17796$0
99239Hospital discharge day management, more than 30 minutes10492$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5450$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4645$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2823$0
View full utilization report →

Insurance plans in this area (ZIP 45056)

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Provider's Procedures

KAMI LEE PARK (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH81002Urinalysis, manual test2320
FAMILY MEDICINEOH90670Pneumococcal vaccine for injection into muscle3838

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: 1850570458View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Radiation OncologyOH
O T O L A R Y N G O L O G YOH
P O D I A T R YOH
Physician AssistantOH
H O S P I T A L I S TMD
Nurse PractitionerCO
H O S P I T A L I S TIL
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

How do payers reference KAMI LEE PARK (MD)?
For KAMI LEE PARK (MD), use NPI 1821002775 as the unique 10-digit identifier.
Active or inactive — what applies to KAMI LEE PARK (MD)?
You should see KAMI LEE PARK (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to KAMI LEE PARK (MD)?
KAMI LEE PARK (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KAMI LEE PARK (MD) associated with Oxford?
Public fields place KAMI LEE PARK (MD) around Oxford, Ohio. Always confirm the exact site before visiting.
Does KAMI LEE PARK (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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