Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720283153 Individual Practitioner Male Practitioner

Dr. Chan W. Park , MD

Surgery • Honolulu, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chan Park, MD is a certified Surgery practicing in Honolulu, HI. With approximately 21 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2005, Dr. Park delivers high-quality medical care to the local community at 1 JARRETT WHITE ROAD.

Dr. Park is affiliated with Pali Momi Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Jarrett White Road
Department Of Surgery - 2 Oceanside

Honolulu, HI 96859

Telephone 8084331730

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Honolulu, HI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -1.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
96 Specialists

Practicing in Honolulu, HI (157 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (21 Years) 21 Yrs
Honolulu Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 16 $227.00 $72.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
12 12 $1375.00 $126.24

Medical Specialties & State Licenses

CMS Verified: 2023-10-18
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License HI MD-16643

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Pali Momi Medical Center

98 -1079 Moanalua Rd, Aiea, HI 967014713

Phone: 8084866000

Pali Momi Medical Center

98 -1079 Moanalua Rd, Aiea, HI 967014725

Phone: 8084854250

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Andrea Mills , LCSW

Social Worker - Clinical

NPI 1043364573

Licensed Clinical Social Worker

Dr. David Lane , MD

Military Health Care Provider

NPI 1053312249

Doctor of Medicine (M.D.)

Carol Mccann , FNP

Nurse Practitioner - Family

NPI 1053483180

Family Nurse Practitioner

NPI 1124012893

Doctor of Medicine (M.D.)

Dr. Alexander Deitch , DDS

Dentist - Endodontics

NPI 1144209073

Doctor of Dental Surgery

NPI 1144823584

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 18, 2023

Registered at 1 JARRETT WHITE ROAD, DEPARTMENT OF SURGERY - 2 OCEANSIDE, HONOLULU, HI 96859 (Tel: 8084331730)

📍
Updated Business Mailing Address October 18, 2023

Registered at 1650 ALA MOANA BLVD APT 913, HONOLULU, HI 968151464 (Tel: 8084331730)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2023

Surgery (License #MD-16643 in HI)

NPI Profile Active February 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2013

Registered at 407 CRUTCHFIELD ST, DUKE CENTER FOR MINIMALLY INVASIVE SURGERY, DURHAM, NC 277042726 (Tel: 9194707018)

📍
Updated Business Mailing Address February 01, 2013

Registered at 407 CRUTCHFIELD ST, DUKE CENTER FOR MINIMALLY INVASIVE SURGERY, DURHAM, NC 277042726 (Tel: 9194707018)

👤
Provider Name / Credentials Updated February 01, 2013

Recorded as CHAN PARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2013

Surgery (License #2010-01127 in NC)

🟢
Initial NPI Registration & Enumeration June 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720283153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2007
Last Update: October 18, 2023
Sole Proprietor: No

Mailing Address

1650 Ala Moana Blvd Apt 913

Honolulu, HI 968151464

Phone: 8084331730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.