Kitae Park, MD
NPI 1225664618 · Student in an Organized Health Care Education/Training Program · Baltimore, MD
Enrolled with Medicare as Order and Referring Only - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kitae Park, MD is a Student in an Organized Health Care Education/Training Program provider in Baltimore, MD (NPI 1225664618).
Provider details
- NPI number
- 1225664618
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 1800 Orleans StBaltimore, MD 21287-0010Phone: (410) 502-2037
- 40 Sunshine Cottage RdValhalla, NY 10595-1524Phone: (914) 594-4000
Registry dates
- Enumerated
- 2020-03-17
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Kitae Park's NPI number?
- Kitae Park's National Provider Identifier (NPI) is 1225664618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kitae Park's specialty?
- Kitae Park is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kitae Park located?
- Kitae Park's practice location on file with NPPES is 601 N Caroline St # 8152c, Baltimore, MD 21287-0006.
- What is Kitae Park's phone number?
- The practice phone number listed in the NPPES registry for Kitae Park is (410) 502-7381.
- Does Kitae Park accept Medicare?
- Kitae Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kitae Park's NPI active?
- Yes — Kitae Park's NPI (1225664618) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.