Samuel S. Park, M.D.
NPI 1124551239ActiveIndividual· Anesthesiology· Kirkland, WA
Anesthesiology (M.D.) in Kirkland, Washington, trained at University of Washington School of Medicine (class of 2017). Medicare paid $26,705 for services to 121 patients in 2024.
Overview
| NPI | 1124551239 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 5, 2017 |
| Last updated in NPPES | Sep 30, 2021 |
| Certified by provider | Sep 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | MD61147982 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 151 across 51 procedure codes |
| Paid by Medicare | $26,705 |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Anesthesiology |
Medical group
- Matrix Anesthesia, PsBellevue, WA · 88 clinicians
Hospital affiliations
- Evergreenhealth Medical CenterKirkland, WA
- Evergreenhealth MonroeMonroe, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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