JEAN YOUNG PARK M.D. NPI 1861512592

NPI Information

  • NPI: 1861512592
  • Provider Name: JEAN YOUNG PARK, M.D.
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5601 LOCH RAVEN BLVD
    RUSSELL MORGAN BLDG., 3RD FLOOR
    BALTIMORE, MD
    ZIP 21239
  • Phone: (410) 464-5600

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NPI Details

Jean Young Park, M.D. is an endocrinology and diabetes and metabolism internal medicine in Baltimore, MD with 25 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Jean Young Park, M.D. NPI is 1861512592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS SCHOOL OF DENTAL MEDICINE
Graduation Year:2001

The provider's business location address is:

5601 LOCH RAVEN BLVD
RUSSELL MORGAN BLDG., 3RD FLOOR
BALTIMORE, MD
ZIP 21239-905
Phone: (410) 464-5600
Fax: (410) 435-5367

The NPI 1861512592 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, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/8/2007.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismD0061985MARYLANDYes

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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