Soo Jung Park, PA-C
NPI 1225836844 · Physician Assistant · Dulles, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soo Jung Park, PA-C is a Physician Assistant provider in Dulles, VA (NPI 1225836844).
Provider details
- NPI number
- 1225836844
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 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 (1)
- Msc 4315 235 Martin Luther King Jr WayHarrisonburg, VA 22807-0001Phone: (540) 568-7658
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Frequently asked questions
- What is Soo Jung Park's NPI number?
- Soo Jung Park's National Provider Identifier (NPI) is 1225836844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Soo Jung Park's specialty?
- Soo Jung Park is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Soo Jung Park located?
- Soo Jung Park's practice location on file with NPPES is 24430 Stone Springs Blvd Suite 275, Dulles, VA 20166-2270.
- What is Soo Jung Park's phone number?
- The practice phone number listed in the NPPES registry for Soo Jung Park is (703) 858-3220.
- Does Soo Jung Park accept Medicare?
- Soo Jung 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 Jung Park's NPI active?
- Yes — Soo Jung Park's NPI (1225836844) is active in the NPPES registry as of the last update on 2025-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.