DR. HAESEONG PARK (MD) – Medical Oncology Physician, NPI 1417118621

DR. HAESEONG PARK (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in MEDICAL ONCOLOGY, HEMATOLOGY. They hold the professional credentials MD. They hold a License No. 292711 (MA). The NPI Number for DR. HAESEONG PARK (MD) is 1417118621

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAESEONG PARK (MD)
NPI
1417118621
Phone
(617) 632-4500
Address
450 BROOKLINE AVE
Enumeration Date
19 June 2008
Last Update Date
6 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
1557500972
Group Practice PAC ID
9133038904
Professional Enrollment ID
I20220830000121
Address ID
MA022155418BO450XXAVEX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

194 MEDICAL ONCOLOGY in MO

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Provider Addresses for DR. HAESEONG PARK (MD)

  • 450 BROOKLINE AVE

    BOSTON, MA 022155450

    Phone: (617) 632-4500

    Fax: (617) 632-5370

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8056

    SAINT LOUIS, MO 631101010

    Phone: (800) 647-2098

    Fax: (314) 362-3192

    Type: Mailing

  • Siteman Cancer Center, 4921, Parkview Place, BJC, City of Saint Louis, Missouri, 63110, United States

    DIV IM MEDICAL ONCOLOGY, STE 7A, 7B, 7C

    SAINT LOUIS, MO 631101032

    Phone: (800) 647-2098

    Fax: (314) 362-3192

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $25,872.

Total Amount is formed as General ($25,872) + Research ($0) + Ownership ($0) = $25,872.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($22,875).

Total Amount

$25,872

General + Research + Ownership

Payments

11

Total payment records

General Amount

$25,872

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-08-30

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
I20220830000121IMedical OncologyMATBD

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 minutes11528$0
99215Established patient office or other outpatient visit, 40-54 minutes9453$0
99214Established patient office or other outpatient visit, 30-39 minutes5627$0
99205New patient office or other outpatient visit, 60-74 minutes3535$0
99238Hospital discharge day management, 30 minutes or less1515$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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Provider's Procedures

DR. HAESEONG PARK (MD) performs procedures in MEDICAL ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
MEDICAL ONCOLOGYMO96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention269115
MEDICAL ONCOLOGYMO96415Infusion of chemotherapy into a vein8438

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: 9133038904View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineMA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Medical Oncology, Hematology, Internal MedicineMA
Medical OncologyWA
H E M A T O L O G Y/ O N C O L O G YMA
Hematology, Internal MedicineMA
Orthopedic SurgeryMA
Hematology, Medical OncologyMA
Hospice/Palliative Care, Internal MedicineMA

Reviews

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Frequently asked questions

Can I cross-check DR. HAESEONG PARK (MD) using NPI 1417118621?
NPI 1417118621 belongs to DR. HAESEONG PARK (MD); compare other details if you need extra assurance.
Is DR. HAESEONG PARK (MD) shown as active in public data?
Registry records indicate DR. HAESEONG PARK (MD) maintains an active NPI.
What kind of doctor is DR. HAESEONG PARK (MD)?
DR. HAESEONG PARK (MD) is associated with Medical Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. HAESEONG PARK (MD) associated with Boston?
Public fields place DR. HAESEONG PARK (MD) around Boston, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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