PETER JU PARK M.D. NPI 1699015792

NPI Information

  • NPI: 1699015792
  • Provider Name: PETER JU PARK, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 WOODRUFF CIR NE
    SUITE 327
    ATLANTA, GA
    ZIP 30322
  • Phone: (404) 712-4686

Map and Directions

Get Directions

NPI Details

Peter Ju Park, M.D. is a vascular and interventional radiology radiology in Atlanta, GA with 12 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Peter Ju Park, M.D. NPI is 1699015792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

100 WOODRUFF CIR NE
SUITE 327
ATLANTA, GA
ZIP 30322-001
Phone: (404) 712-4686

The NPI 1699015792 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.

  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Review by radiologist of abdominal artery image (HCPCS:75726)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Replacement of liver duct drainage tube using imaging guidance with review by radiologist (HCPCS:47536)
  • Drainage of fluid collection of abdominal cavity by tube using imaging guidance (HCPCS:49406)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Needle biopsy of kidney (HCPCS:50200)

The enumeration date for this NPI number is 2/26/2013 and was last updated on 11/5/2018.

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
12085R0202XRadiologyDiagnostic Radiology007281GEORGIANo
22085R0204XRadiologyVascular & Interventional Radiology007281GEORGIAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.