DR. DANA MICHAEL PARK (M.D.) – Internal Medicine Physician, NPI 1215036165

DR. DANA MICHAEL PARK (M.D.) is a healthcare provider. based in Tyler, Texas. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. E2776 (TX). The NPI Number for DR. DANA MICHAEL PARK (M.D.) is 1215036165

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANA MICHAEL PARK (M.D.)
NPI
1215036165
Phone
(903) 533-0644
Address
1910 ROSELAND BLVD
Enumeration Date
21 September 2006
Last Update Date
20 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9035330644
Graduation Year
1974 (52 years ago)
PAC ID
9739177098
Group Practice PAC ID
3476541731
Professional Enrollment ID
I20100804000206
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

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Provider Addresses for DR. DANA MICHAEL PARK (M.D.)

  • 1910, Roseland Boulevard, Azalea Historic District, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757014246

    Phone: (903) 533-0644

    Fax: (903) 533-0441

    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 2 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Abbott Laboratories ($133).

Total Amount

$133

General + Research + Ownership

Payments

2

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$133
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75701)

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Provider's Procedures

DR. DANA MICHAEL PARK (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX85610Blood test, clotting time19823
INTERNAL MEDICINETX83036Hemoglobin A1C level441240
INTERNAL MEDICINETX94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration6863

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: 3476541731View full group profile
NameSpecialtyState
Physician AssistantTX
Internal MedicineTX
Family PracticeTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find DR. DANA MICHAEL PARK (M.D.)'s NPI?
You can confirm DR. DANA MICHAEL PARK (M.D.) with NPI 1215036165; it appears in the national provider directory.
Is DR. DANA MICHAEL PARK (M.D.)'s NPI currently valid?
The extract we use shows DR. DANA MICHAEL PARK (M.D.) as active.
Does DR. DANA MICHAEL PARK (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. DANA MICHAEL PARK (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. DANA MICHAEL PARK (M.D.) practice in Texas?
You will see Tyler, Texas on file for DR. DANA MICHAEL PARK (M.D.) alongside any extra practice locations.
Is DR. DANA MICHAEL PARK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1215036165. Always confirm identity and privileges with the practice and licensing boards.

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