DR. JUNG K PARK M.D. NPI 1700834777

NPI Information

  • NPI: 1700834777
  • Provider Name: DR. JUNG K PARK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11209 N TATUM BLVD
    SUITE #110
    PHOENIX, AZ
    ZIP 85028
  • Phone: (602) 248-8002

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NPI Details

DR. Jung K Park, M.D. is a diagnostic radiology radiology in Phoenix, AZ with 34 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jung K Park, M.D. NPI is 1700834777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1992

The provider's business location address is:

11209 N TATUM BLVD
SUITE #110
PHOENIX, AZ
ZIP 85028-091
Phone: (602) 248-8002
Fax: (602) 248-8399

The NPI 1700834777 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Nuclear medicine study of lung circulation (HCPCS:78580)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of blood vessels of neck without contrast (HCPCS:70547)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of hand, 2 views (HCPCS:73120)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of chest (HCPCS:76604)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)

The enumeration date for this NPI number is 5/4/2006 and was last updated on 9/11/2025.

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 Radiology26466ARIZONAYes
22085R0204XRadiologyVascular & Interventional RadiologyF91378ARIZONANo

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
11Z7049OTHERARIZONAHEALTHNET
2AZ0324990OTHERARIZONABCBS
3431726OTHERARIZONAAHCCCS

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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