NPI Details
Deric Minwoo Park, MD is a diagnostic neuroimaging psychiatry neurology in Chicago, IL with 29 years of experience. The provider is a licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. Deric Minwoo Park, MD NPI is 1730391509. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996
The provider's business location address is:
5841 S MARYLAND AVE # MC2030
CHICAGO, IL
ZIP 60637-443
Phone: (773) 702-1061
The NPI 1730391509 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, 40-54 minutes (HCPCS:99215)
- Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
The enumeration date for this NPI number is 5/4/2007 and was last updated on 9/17/2024.
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 |
| 1 | 2084D0003X | Psychiatry & Neurology | Diagnostic Neuroimaging | 25MA11934400 | NEW JERSEY | Yes |
| 2 | 2084D0003X | Psychiatry & Neurology | Diagnostic Neuroimaging | MD431575 | PENNSYLVANIA | No |
| 3 | 2084N0400X | Psychiatry & Neurology | Neurology | 0101247111 | VIRGINIA | No |
| 4 | 2084N0400X | Psychiatry & Neurology | Neurology | 036147170 | ILLINOIS | No |
