Ji-Min Park, MD
NPI 1366199184 · Internal Medicine Physician · Jbsa Ft Sam Houston, TX
Enrolled with Medicare as Order and Referring Only - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ji-Min Park, MD is a Internal Medicine Physician provider in Jbsa Ft Sam Houston, TX (NPI 1366199184).
Provider details
- NPI number
- 1366199184
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101280245 (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
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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)
- Wilford Hall Ambulatory Surgical Center1100 Wilford Hall LoopJbsa Lackland, TX 78236Phone: (210) 292-4277
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Frequently asked questions
- What is Ji-Min Park's NPI number?
- Ji-Min Park's National Provider Identifier (NPI) is 1366199184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ji-Min Park's specialty?
- Ji-Min Park is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ji-Min Park located?
- Ji-Min Park's practice location on file with NPPES is Brooke Army Medical Center, Jbsa Ft Sam Houston, TX 78234-4504.
- What is Ji-Min Park's phone number?
- The practice phone number listed in the NPPES registry for Ji-Min Park is (210) 292-7805.
- Does Ji-Min Park accept Medicare?
- Ji-Min Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ji-Min Park's NPI active?
- Yes — Ji-Min Park's NPI (1366199184) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.