DR. CLINTON SANGKYU PARK M.D. NPI 1295932242

NPI Information

  • NPI: 1295932242
  • Provider Name: DR. CLINTON SANGKYU PARK, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 S HENDERSON ST STE 200
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 413-1500

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NPI Details

DR. Clinton Sangkyu Park, M.D. is a radiation oncology radiology in Fort Worth, TX with 22 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Clinton Sangkyu Park, M.D. NPI is 1295932242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 S HENDERSON ST STE 200
FORT WORTH, TX
ZIP 76104-154
Phone: (817) 413-1500
Fax: (817) 413-1499

The NPI 1295932242 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Cranial lesion surgery using radiation over multiple sessions (HCPCS:77373)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Complex radiation therapy planning (HCPCS:77263)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • 3d radiation therapy planning (HCPCS:77295)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • X-ray during radiation therapy (HCPCS:77417)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Fluciclovine f-18, diagnostic, 1 millicurie (HCPCS:A9588)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 7/2/2007 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0203XRadiologyTherapeutic RadiologyBP10022820TEXASNo
22085R0001XRadiologyRadiation OncologyN3228TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202476201MEDICAIDTEXAS
28CA240OTHERTEXASBLUECROSS BLUESHIELD OF TEXAS
3202476202MEDICAIDTEXAS
4P00764078OTHERTEXASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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