ESTHER J PARK (M.D.) – Internal Medicine Physician, NPI 1417996414

ESTHER J PARK (M.D.) is a healthcare provider. based in Bellevue, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 217512 (MA). The NPI Number for ESTHER J PARK (M.D.) is 1417996414

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ESTHER J PARK (M.D.)
NPI
1417996414
Phone
(425) 502-3000
Address
11511 NE 10TH ST
Enumeration Date
5 June 2006
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4255023000
Graduation Year
2000 (26 years ago)
PAC ID
2365494820
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20061006000106
Address ID
WA980048578BE11511STXX400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

4,058 INTERNAL MEDICINE in WA

Provider Addresses for ESTHER J PARK (M.D.)

  • 11511 NE 10TH ST

    BELLEVUE, WA 980048578

    Phone: (425) 502-3000

    Type: Mailing

  • PO BOX 34036

    SEATTLE, WA 981241036

    Phone: (425) 899-3292

    Fax: (425) 899-3269

    Type: Mailing

  • 8301 161st Ave NE

    Suite #308

    Redmond, WA 980523858

    Phone: (425) 882-5020

    Fax: (425) 882-5021

    Type: Location

  • Redmond Medical Center, 8301, 161st Avenue Northeast, Redmond, King County, Washington, 98052, United States

    SUITE #308

    REDMOND, WA 980523858

    Phone: (425) 882-5020

    Fax: (425) 882-5021

    Type: Location

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: 2006-10-06

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
I20061006000106IInternal 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.

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

Insurance plans in this area (ZIP 98004)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

Does ESTHER J PARK (M.D.) have a public NPI I can cite?
Public records show ESTHER J PARK (M.D.) under NPI 1417996414.
Should I treat ESTHER J PARK (M.D.) as an active provider?
Patients and plans typically see ESTHER J PARK (M.D.) as active in the national extract.
What does the directory say ESTHER J PARK (M.D.) does?
Insurance directories may phrase it differently, but here ESTHER J PARK (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit ESTHER J PARK (M.D.) in Bellevue, Washington?
For routing, start with Bellevue, Washington for ESTHER J PARK (M.D.), then verify phone and hours locally.
Can I export ESTHER J PARK (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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