Daniel Park, M.D.
NPI 1063875292 · Pediatrics Physician · Tyler, TX
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Park, M.D. is a Pediatrics Physician provider in Tyler, TX (NPI 1063875292).
Provider details
- NPI number
- 1063875292
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- S0046 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Frequently asked questions
- What is Daniel Park's NPI number?
- Daniel Park's National Provider Identifier (NPI) is 1063875292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Park's specialty?
- Daniel Park is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Daniel Park located?
- Daniel Park's practice location on file with NPPES is 8288 S Broadway Ave, Tyler, TX 75703-5262.
- What is Daniel Park's phone number?
- The practice phone number listed in the NPPES registry for Daniel Park is (903) 606-7060.
- Does Daniel Park accept Medicare?
- Daniel Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Park's NPI active?
- Yes — Daniel Park's NPI (1063875292) is active in the NPPES registry as of the last update on 2026-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.