JOSEPH PARK (D.O.) – Family Medicine Physician, NPI 1891848412

JOSEPH PARK (D.O.) is a healthcare provider. based in The colony, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. L6563 (TX). The NPI Number for JOSEPH PARK (D.O.) is 1891848412

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH PARK (D.O.)
NPI
1891848412
Phone
(972) 370-0004
Address
3805 MAIN ST STE 112
Enumeration Date
18 January 2007
Last Update Date
31 October 2013

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9723700004
Graduation Year
2000 (26 years ago)
PAC ID
6800865841
Professional Enrollment ID
I20040928000094
Address ID
TX750562853TH3805XSTXX300
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

8,705 FAMILY PRACTICE in TX

Provider Addresses for JOSEPH PARK (D.O.)

  • 3805 MAIN ST STE 112

    THE COLONY, TX 750562853

    Phone: (972) 370-0004

    Fax: (972) 370-0088

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-09-28

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
I20040928000094IFamily PracticeTXTBD

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 minutes50145$0
36415Insertion of needle into vein for collection of blood sample11541$0
99215Established patient office or other outpatient visit, 40-54 minutes10034$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3434$0
99213Established patient office or other outpatient visit, 20-29 minutes3116$0
View full utilization report →

Insurance plans in this area (ZIP 75056)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for JOSEPH PARK (D.O.)?
JOSEPH PARK (D.O.) — NPI 1891848412 — is the standard way to identify this listing.
Is JOSEPH PARK (D.O.) still practicing?
JOSEPH PARK (D.O.) is currently listed as active in the public NPI registry.
What is JOSEPH PARK (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for JOSEPH PARK (D.O.) here. Clinical services aligned with this taxonomy classification.
Where is JOSEPH PARK (D.O.) based?
JOSEPH PARK (D.O.) is tied to The Colony, Texas in the data we show; additional addresses may exist on the full record.
Is the information about JOSEPH PARK (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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