HANNAH EUNYOUNG PARK (M.D.) – Internal Medicine Physician, NPI 1215162953

HANNAH EUNYOUNG PARK (M.D.) is a healthcare provider. based in Longview, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35.099182 (OH). The NPI Number for HANNAH EUNYOUNG PARK (M.D.) is 1215162953

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH EUNYOUNG PARK (M.D.)
NPI
1215162953
Phone
(360) 414-2000
Address
1615 DELAWARE ST
Enumeration Date
26 May 2009
Last Update Date
29 October 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
3604871000
Graduation Year
2009 (17 years ago)
PAC ID
5890934756
Group Practice PAC ID
0446295711
Professional Enrollment ID
I20141104002760
Address ID
WA986862742VA2211XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

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Provider Addresses for HANNAH EUNYOUNG PARK (M.D.)

  • PeaceHealth St. John Medical Center, 1615, Delaware Street, Longview, Cowlitz County, Washington, 98632, United States

    HOSPITALIST OFFICE

    LONGVIEW, WA 98632

    Phone: (360) 414-2000

    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: 2014-11-04

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
I20141104002760IInternal MedicineWATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes18269$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6934$0
99239Hospital discharge day management, more than 30 minutes4343$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th3016$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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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: 0446295711View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationOR
Internal MedicineCA
Family PracticeWA
Nurse PractitionerCA
Neurology, Hospice/Palliative CareWA
Nurse PractitionerSD
-OR
-OR
General SurgeryOR
-OR

Reviews

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Frequently asked questions

What identifier follows HANNAH EUNYOUNG PARK (M.D.) across health systems?
The NPI 1215162953 uniquely identifies HANNAH EUNYOUNG PARK (M.D.) in U.S. healthcare data.
Is HANNAH EUNYOUNG PARK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists HANNAH EUNYOUNG PARK (M.D.) as active.
What type of care does HANNAH EUNYOUNG PARK (M.D.) provide?
HANNAH EUNYOUNG PARK (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to HANNAH EUNYOUNG PARK (M.D.)?
The directory associates HANNAH EUNYOUNG PARK (M.D.) with Longview, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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