Kenneth Park, PA-C
NPI 1194973768 · Physician Assistant · Chicago, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Park, PA-C is a Physician Assistant provider in Chicago, IL (NPI 1194973768).
Provider details
- NPI number
- 1194973768
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085003022 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
17 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 81 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 311 | 129 |
| Amlodipine Besylate | 202 | 79 |
| Metformin Hcl | 163 | 65 |
| Hydrochlorothiazide | 149 | 48 |
| Losartan Potassium | 141 | 56 |
| Lisinopril | 134 | 55 |
| Gabapentin | 106 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$142 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-08
- Last updated
- 2022-08-31
- Certified
- 2022-08-31
Frequently asked questions
- What is Kenneth Park's NPI number?
- Kenneth Park's National Provider Identifier (NPI) is 1194973768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Park's specialty?
- Kenneth Park is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Park located?
- Kenneth Park's practice location on file with NPPES is 3860 W Ogden Ave, Chicago, IL 60623-2460.
- What is Kenneth Park's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Park is (872) 588-3000.
- Does Kenneth Park accept Medicare?
- Kenneth Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Park's NPI active?
- Yes — Kenneth Park's NPI (1194973768) is active in the NPPES registry as of the last update on 2022-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.