DR. ANDREW EUNKOO PARK M.D. NPI 1598722654

NPI Information

  • NPI: 1598722654
  • Provider Name: DR. ANDREW EUNKOO PARK, M.D.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17051 DALLAS PKWY
    SUITE 400
    ADDISON, TX
    ZIP 75001
  • Phone: (214) 370-3006

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NPI Details

DR. Andrew Eunkoo Park, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Addison, TX with 29 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Andrew Eunkoo Park, M.D. NPI is 1598722654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1997

The provider's business location address is:

17051 DALLAS PKWY
SUITE 400
ADDISON, TX
ZIP 75001-109
Phone: (214) 370-3006
Fax: (214) 828-1379

The NPI 1598722654 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Fusion of additional segment of spine (HCPCS:22614)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
  • Fusion of spine in lower back (HCPCS:22612)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Placement of stabilizing device to front, 2-3 spine bone segments (HCPCS:22845)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/1/2006 and was last updated on 6/15/2022.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineL6562TEXASYes

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
1159521701MEDICAIDTEXAS
200954841AMEDICAIDTEXAS
3159521702MEDICAIDTEXAS
48810M3OTHERTEXASBLUE CROSS PIN
5P00714233OTHERTEXASRAIL ROAD MEDICARE PIN

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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