Boram Park, M.D., PLLC
NPI 1821616566 · Clinic/Center · Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boram Park, M.D., PLLC is a Clinic/Center organization in Dallas, TX (NPI 1821616566).
Provider details
- NPI number
- 1821616566
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Boram Park, Owner(214) 375-6262
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Other names (DBA / former)
- Doing business as
- Highland Park Concierge Medicine
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Frequently asked questions
- What is Boram Park, M.D., PLLC's NPI number?
- Boram Park, M.D., PLLC's National Provider Identifier (NPI) is 1821616566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boram Park, M.D., PLLC?
- Boram Park, M.D., PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boram Park, M.D., PLLC located?
- Boram Park, M.D., PLLC's practice location on file with NPPES is 3607 Oak Lawn Ave Ste 270, Dallas, TX 75219-4743.
- What is Boram Park, M.D., PLLC's phone number?
- The practice phone number listed in the NPPES registry for Boram Park, M.D., PLLC is (214) 375-6262.
- Does Boram Park, M.D., PLLC accept Medicare?
- Boram Park, M.D., PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boram Park, M.D., PLLC?
- The authorized official listed on Boram Park, M.D., PLLC's NPPES record is Boram Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boram Park, M.D., PLLC's NPI active?
- Yes — Boram Park, M.D., PLLC's NPI (1821616566) is active in the NPPES registry as of the last update on 2020-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.