JIN S. PARK MD – NPI #1164400768
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

JIN PARK is a physician located in KANSAS CITY, MO. NPPES has assigned the NPI number 1164400768 to JIN PARK on January 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on Nov 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JIN PARK below.

NPI Profile for
JIN S. PARK

NPI Number
1164400768
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JIN S. PARK
Credentials
MD
Primary location
1000 CARONDELET DR STE 201B
KANSAS CITY, MO 64114
Phone: (913) 956-2250 Fax: (913) 956-2251
4 Other location(s):
5721 W 119th St
Overland Park, KS 66209-3722
Phone: (913) 498-6000
201 NW RD Mize Rd
Blue Springs, MO 64014
Phone: (816) 228-5900
615 W Nursery St
Butler, MO 64730-1840
Phone: (660) 200-7000
7201 E 147th St Ste 120
Grandview, MO 64030-4204
Phone: (913) 956-2250
Fax: (913) 956-2251
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JIN PARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE RAILROADMOP00632841
medicaidMO1164400768
medicaidNY01990005
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 MO 20080015782
207RC0000X
- Internal Medicine / Cardiovascular Disease		 KS 0433150
207R00000X
- Internal Medicine		 MO 2008015782

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY - Graduated 1992
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JIN PARK is affiliated with the following medical group(s):
  • HOSPITAL
    • BATES COUNTY MEMORIAL HOSPITAL
      615 W NURSERY ST
      BUTLER, MO 64730
    • ST JOSEPH MEDICAL CENTER
      1000 CARONDELET DR
      KANSAS CITY, MO 64114
    • ST MARYS MEDICAL CENTER
      201 NW R D MIZE RD
      BLUE SPRINGS, MO 64014

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.