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Kip K. Park, MD

NPI 1760468730ActiveIndividual· Radiology, Diagnostic Radiology· Virginia Beach, VA

Radiology, Diagnostic Radiology (MD) in Virginia Beach, Virginia, trained at Indiana University School of Medicine (class of 1995). Medicare paid $108,607 for services to 2,094 patients in 2024. Penumbra, Inc. reported $21.04 in payments in 2024, mostly food and beverage.

Overview

NPI1760468730
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedDec 21, 2005
Last updated in NPPESFeb 7, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Radiology, Diagnostic Radiology Primary2085R0202X0101236704VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Diagnostic Radiology (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients2,094
Services billed2,810 across 132 procedure codes
Paid by Medicare$108,607

Medicare sources and data years

Education and affiliations

Medical schoolIndiana University School of Medicine
Graduation year1995
Medicare specialtyDiagnostic Radiology

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$21.04 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Penumbra, Inc.$21.041

What the 2024 payments were for

  • Food and Beverage$21.04 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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