Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jin S Park, MD

Q: What is the NPI number for Jin Park?

The National Provider Identifier (NPI) for Jin Park is 1164400768, a Type 1 (individual) record in the CMS NPPES registry.

Interventional Cardiology Physician in Kansas City, MO · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164400768

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Jin S Park

Credential MD

Sex Male

Practice address 1000 Carondelet Dr Ste 201b, Kansas City, MO, 64114

Phone (913) 956-2250

Fax (913) 956-2251

Enumeration date Jan 4, 2006

Last updated in NPPES Nov 18, 2025

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 0433150 (KS) Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 2008015782 (MO) Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License 20080015782 (MO) Primary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 194765 (NY) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 2008015782 (MO) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1164400768	Medicaid	MO	-
P00632841	Other	MO	MEDICARE RAILROAD
01990005	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jin Park?

The National Provider Identifier (NPI) for Jin Park is 1164400768, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jin Park practice?

The practice location on file with NPPES is in Kansas City, MO. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Gerald Mancuso Interventional Cardiology Physician · Kansas City, MO NPI 1427012574 Craig Lundgren Interventional Cardiology Physician · Kansas City, MO NPI 1508820655 Patrick Santiago Cardiovascular Disease Physician · Kansas City, MO NPI 1659328599 David Burkart Vascular & Interventional Radiology Physician · Kansas City, MO NPI 1225078488 John Forman Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Kansas City, MO NPI 1992871123 Luis Couchonnal Clinical Cardiac Electrophysiology Physician · Kansas City, MO NPI 1629287602 Laura Tullis Gerontology Nurse Practitioner · Kansas City, MO NPI 1841651346 Jenna Monger Family Nurse Practitioner · Kansas City, MO NPI 1528575560

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-18.