JAE YOON PARK MD NPI 1962798397

NPI Information

  • NPI: 1962798397
  • Provider Name: JAE YOON PARK, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4729 E CAMP LOWELL DR
    TUCSON, AZ
    ZIP 85712
  • Phone: (520) 838-3540

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NPI Details

Jae Yoon Park, MD is an interventional cardiology internal medicine in Tucson, AZ with 15 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Jae Yoon Park, MD NPI is 1962798397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

4729 E CAMP LOWELL DR
TUCSON, AZ
ZIP 85712-256
Phone: (520) 838-3540
Fax: (520) 318-0104

The NPI 1962798397 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).

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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • Insertion of tube in right heart chambers for measurement (HCPCS:93451)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 6/23/2011 and was last updated on 1/21/2025.

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
1207R00000XInternal Medicine55416MINNESOTANo
2207RC0000XInternal MedicineCardiovascular DiseaseT292227MASSACHUSETTSNo
3207RC0000XInternal MedicineCardiovascular Disease55416MINNESOTANo
4207RI0011XInternal MedicineInterventional CardiologyT292227MASSACHUSETTSNo
5207RI0011XInternal MedicineInterventional Cardiology69610ARIZONAYes

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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