Pauline Kyonsook Park, MD
NPI 1831119528ActiveIndividual· Surgery, Surgical Critical Care· Ann Arbor, MI
Surgery, Surgical Critical Care (MD) in Ann Arbor, Michigan, trained at Jefferson Medical College of Thomas Jefferson University (class of 1982). Medicare paid $20,079 for services to 78 patients in 2024.
Overview
| NPI | 1831119528 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Aug 26, 2025 |
| Certified by provider | Aug 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Surgical Critical Care Primary | 2086S0102X | 4301089001 | MI |
| Surgery | 208600000X | 4301089001 | MI |
| Surgery, Surgical Critical Care | 2086S0102X | MD030406E | PA |
| Surgery, Trauma Surgery | 2086S0127X | MD030406E | PA |
| Surgery | 208600000X | MD030406E | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Critical Care (Intensivists) (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 174 across 23 procedure codes |
| Paid by Medicare | $20,079 |
Education and affiliations
| Medical school | Jefferson Medical College of Thomas Jefferson University |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Critical Care (Intensivists) |
| Secondary specialties | General Surgery |
Medical group
- Regents of the University of MichiganAnn Arbor, MI · 3,346 clinicians
Hospital affiliation
- University of Michigan Health SystemAnn Arbor, MI
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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All 16 Surgery, Surgical Critical Care providers in Ann Arbor · All Surgery, Surgical Critical Care providers in Michigan