Soo Woong Park, M.D.
NPI 1205833910 · Internal Medicine Physician · Fairfax, VA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soo Woong Park, M.D. is a Internal Medicine Physician provider in Fairfax, VA (NPI 1205833910).
Provider details
- NPI number
- 1205833910
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101029694 (VA)
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
20 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
- 2005-07-07
- Last updated
- 2009-11-13
Frequently asked questions
- What is Soo Woong Park's NPI number?
- Soo Woong Park's National Provider Identifier (NPI) is 1205833910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Soo Woong Park's specialty?
- Soo Woong Park is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Soo Woong Park located?
- Soo Woong Park's practice location on file with NPPES is 10680 Main St, Fairfax, VA 22030-3811.
- What is Soo Woong Park's phone number?
- The practice phone number listed in the NPPES registry for Soo Woong Park is (703) 273-6802.
- Does Soo Woong Park accept Medicare?
- Soo Woong Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Soo Woong Park's NPI active?
- Yes — Soo Woong Park's NPI (1205833910) is active in the NPPES registry as of the last update on 2009-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.