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Kenneth Park , PA-C

Physician Assistant β€’ Chicago, IL

Active NPI 1194973768 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3860 W Ogden Ave
Chicago, IL 606232460

Call 8725883000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3860 W Ogden Ave

Chicago, IL 606232460

Telephone 8725883000
Organization at the Same NPPES Address or Phone
Lawndale Christian Health Center Facility NPI 1245289214

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lawndale Christian Health Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2007

30-day fills

8,638 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$421,648 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $141.58 across 5 records.

By nature of payment

  • Food and Beverage: $141.58 across 5 records.

Reporting-company totals

  • ABIOMED: $141.58 across 5 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

19 years (graduated 2007)

CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kenneth Park has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kenneth Park as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Chicago, IL (2024, 651 clinicians with data). Median for this group: 116. Middle half: 41 to 337.

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Chicago, IL (2024, 651 clinicians with data). Median for this group: $1,977. Middle half: $320 to $34,048.

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.

1,446 active clinicians are listed under Physician Assistant with a practice address in Chicago, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

17.4% of these 1,446 clinicians have the CMS telehealth indicator.

63.6% of these 1,446 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $141.58.

Manufacturer Payment Nature Product Type Amount ($)
ABIOMED
Food and Beverage
Cash or cash equivalent
Impella General $43.78
ABIOMED
Food and Beverage
Cash or cash equivalent
Impella General $28.06
ABIOMED
Food and Beverage
Cash or cash equivalent
Impella General $27.93
ABIOMED
Food and Beverage
Cash or cash equivalent
Impella General $25.53
ABIOMED
Food and Beverage
Cash or cash equivalent
Impella General $16.28

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 311 26,414 $2,010.77 129
Amlodipine Besylate Amlodipine Besylate 202 17,340 $855.36 79
Metformin Hcl Metformin Hcl 163 13,241 $1,280.14 65
Hydrochlorothiazide Hydrochlorothiazide 149 13,050 $743.78 48
Losartan Potassium Losartan Potassium 141 11,861 $970.10 56
Lisinopril Lisinopril 134 11,170 $521.56 55
Gabapentin Gabapentin 106 6,077 $1,297.17 44
Tamsulosin Hcl Tamsulosin Hcl 87 7,710 $960.16 35
Nifedipine Er Nifedipine 81 5,683 $2,329.05 27
Pantoprazole Sodium Pantoprazole Sodium 77 6,105 $634.40 28
Metoprolol Succinate Metoprolol Succinate 73 6,024 $1,498.34 36
Albuterol Sulfate Hfa Albuterol Sulfate 72 1,432 $1,919.21 36
Furosemide Furosemide 70 5,230 $232.56 31
Ozempic Semaglutide 70 2,452 $70,596.23 18
Pravastatin Sodium Pravastatin Sodium 66 5,626 $619.98 26
Trulicity Dulaglutide 65 2,268 $72,134.84 β€”
Fluticasone Propionate Fluticasone Propionate 63 3,540 $634.29 28
Omeprazole Omeprazole 63 5,265 $428.99 26
Tradjenta Linagliptin 63 5,070 $74,958.41 27
Chlorthalidone Chlorthalidone 57 4,650 $951.54 23
Levothyroxine Sodium Levothyroxine Sodium 55 4,570 $539.43 23
Potassium Chloride Potassium Chloride 51 3,165 $737.74 15
Carvedilol Carvedilol 49 3,720 $317.61 16
Finasteride Finasteride 48 4,080 $450.73 16
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 47 2,622 $2,779.50 21

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085003022

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260602004112

Enrollment State Jurisdiction

MO

PECOS Control ID

7618029216

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lawndale Christian Health Center

3860 W Ogden Ave, Chicago, IL 606232460

Phone: 8725883000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Jeneson Abraham , PA

Physician Assistant - Medical

NPI 1013975218

Physician Assistant

Dr. Lars Armainsson , MD

Internal Medicine

NPI 1336259514

Doctor of Medicine (M.D.)

Teneshia Auston , APRN

Nurse Practitioner - Family

NPI 1265100705

Advanced Practice Registered Nurse

NPI 1770520959

Doctor of Medicine (M.D.)

NPI 1801805437

Doctor of Medicine (M.D.)

Elizabeth Bauer , PA

Physician Assistant - Medical

NPI 1477851319

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 31, 2022

Registered at 3860 W OGDEN AVE, CHICAGO, IL 606232460 (Tel: 8725883000)

πŸ“
Updated Business Mailing Address August 31, 2022

Registered at 3860 W OGDEN AVE, CHICAGO, IL 606232460 (Tel: 8725883000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2022

Physician Assistant (license number reported to NPPES: IL 085003022)

βœ…
NPI Profile Active July 01, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 01, 2010

Registered at 1300 COPPERFIELD AVE STE 3060, JOLIET, IL 604322009 (Tel: 8157240932)

πŸ“
Business Mailing Address (Initial Record) July 01, 2010

Registered at 1300 COPPERFIELD AVE STE 3060, JOLIET, IL 604322009

πŸ‘€
Provider Name / Credentials (Initial Record) July 01, 2010

Recorded as KENNETH PARK, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2010

Physician Assistant (license number reported to NPPES: IL 385002006)

🟒
Initial NPI Registration & Enumeration September 08, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194973768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2008
Last Update: August 31, 2022
Sole Proprietor: No

Other Physician Assistants in Chicago

All Physician Assistants in Chicago

Mailing Address

3860 W Ogden Ave

Chicago, IL 606232460

Phone: 8725883000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.