DR. SUSIE PARK M.D.
NPI 1114177300
Radiology - Pediatric Radiology in Albany, NY
NPI Status: Active since September 24, 2008
Contact Information
43 NEW SCOTLAND AVE
DEPT OF RADIOLOGY MC 113
ALBANY, NY
ZIP 12208
Phone: (518) 262-3722
- Individual
- Female
- Years of Experience 19
- Radiology
- Pediatric Radiology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SUSIE PARK
This page provides the complete NPI Profile along with additional information for Susie Park, a provider established in Albany, New York with a medical specialization in Radiology, focusing in pediatric radiology and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1114177300 assigned on September 2008. The practitioner's primary taxonomy code is 2085P0229X with license number 267437 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1114177300
- Provider Name
- DR. SUSIE PARK M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 43 NEW SCOTLAND AVE DEPT OF RADIOLOGY MC 113 ALBANY, NY 12208
- Location Phone
- (518) 262-3722
- Mailing Address
- 711 TROY SCHENECTADY RD SUITE 203 LATHAM, NY 12110
- Mailing Phone
- (518) 782-3700
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-24-2008
- Last Update Date
- 01-13-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Pediatric Radiology
- Taxonomy Code
- 2085P0229X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 267437
- License State
- NY
- Taxonomy Description
- A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
03649323 | MEDICAID (05) | NY |
Medicare Participation & PECOS Enrollment Status
Susie Park is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Susie Park is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3779727284
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20150102000008
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. SUSIE PARK M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 1 | 4 | 1 | 7 | 7 | 3 | 0 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 2 | 4 | 2 | 7 | 14 | 3 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 2 + 4 + 2 + 7 + 1 + 4 + 3 + 0 + 24 = 50 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1114177300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1124022181 | DR. FLORENCE ELIZABETH THARMAN AU.D Individual | Audiologist-Hearing Aid Fitter | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4918 |
1821099540 | DR. FRANK J THOMAS MD Individual | Radiology (Radiation Oncology) | 43 NEW SCOTLAND AVE DEPT RADIATION ONCOLOGY ALBANY, NY 12208 (518) 262-3368 |
1750377586 | MARIA DIAZ PARKER P.A. Individual | Physician Assistant | 43 NEW SCOTLAND AVE MAIL CODE 7 ALBANY, NY 12208 (518) 262-6696 |
1023005527 | EDWIN TAFT M.D. Individual | Internal Medicine (Hematology) | 43 NEW SCOTLAND AVE MAIL CODE 7 ALBANY, NY 12208 (518) 262-6696 |
1013906106 | JULIE ANNE KERWOOD MS Individual | Audiologist | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4535 |
1851381693 | KITTY JOY THOMAS NP Individual | Nurse Practitioner | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-1006 |
1245220045 | REBECCA GUERRETTE ROSEN SLP Individual | Speech-Language Pathologist | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4526 |
1801886981 | STACY M VANDERHORST MS Individual | Speech-Language Pathologist | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4526 |
1669449138 | WILLIAM R MCCLELLAN RPA C Individual | Physician Assistant | 43 NEW SCOTLAND AVE MC157 THE VASCULAR GROUP PLLC ALBANY, NY 12208 (518) 262-5640 |
1205804408 | MR. RICK L. MCLAUGHLIN PA-C Individual | Physician Assistant (Surgical) | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-3494 |
1992774368 | STEPHANIE LYNN DONATO MS Individual | Speech-Language Pathologist | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4526 |
1053380477 | CHRISTOPHER WARREN DOTI NP Individual | Nurse Practitioner (Family) | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-5149 |
1477522720 | JACQUELINE MARIE KLEIN MA Individual | Speech-Language Pathologist | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4526 |
1790745727 | DR. TOBIE ANN DORN PHD Individual | Psychologist | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4526 |
1679595151 | JOSEF F LANGE PA Individual | Physician Assistant | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-3472 |
1912921289 | GLEN P RAMOS RPAC Individual | Physician Assistant | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4919 |
1861506750 | CATHY S BELAND M.D. Individual | Emergency Medicine | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-4050 |
1972692887 | MR. JUSTIN POTTER PENDERGRAST PA-C Individual | Physician Assistant | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-6575 |
1154481695 | MS. JOANNE GALAYDA NP Individual | General Acute Care Hospital | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-3125 |
1558411108 | MRS. RUTH IDA SIMMONS CNM Individual | Advanced Practice Midwife | 43 NEW SCOTLAND AVE ALBANY, NY 12208 (518) 262-8234 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114177300, enumerated in the NPI registry as an "individual" on September 24, 2008
The provider is located at 43 New Scotland Ave Dept Of Radiology Mc 113 Albany, Ny 12208 and the phone number is (518) 262-3722
The provider's speciality is Radiology with taxonomy code 2085P0229X with a focus in Pediatric Radiology
The provider has more than 19 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on September 24, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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