Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Simin Park , MD

Surgery β€’ Saint Louis, MO

Active NPI 1144977463 Individual Practitioner Male Practitioner
Practice location in NPPES

1465 S Grand Blvd
Saint Louis, MO 631041003

Call 3145775600 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

1465 S Grand Blvd

Saint Louis, MO 631041003

Telephone 3145775600
Organization at the Same NPPES Address or Phone
St Louis University Facility NPI 1982676474

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

NPPES lists 1 additional practice-address record in Saint Louis, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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)

Dr. 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 Dr. Park as eligible to order or refer durable medical equipment (DME) 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 Saint Louis and Missouri

239 active clinicians are listed under Surgery with a practice address in Saint Louis, MO (715 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Louis

10% of these 239 clinicians have the CMS telehealth indicator.

49% of these 239 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-01
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES WA MD.MD.70098439

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist - Research Study

NUCC Taxonomy Code: 1744R1102X

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: Missouri Board of Registration for the Healing Arts.
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

ORDER AND REFERRING ONLY - GENERAL SURGERY

Medicare Enrollment ID

I20250412000193

Enrollment State Jurisdiction

MO

PECOS Control ID

5991229866

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not 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.

Secondary Practice Locations

1402 S Grand Blvd Rm M260

Saint Louis, MO 631041004

Phone: 3149779581

Clinicians Sharing This Practice Address or Phone

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

7 listed
Dr. Jesse Garwood , MD

Psychiatry & Neurology - Psychiatry

NPI 1265925010

Doctor of Medicine (M.D.)

Dr. Alan Hauser , MD

Psychiatry & Neurology - Psychiatry

NPI 1134617160

Doctor of Medicine (M.D.)

Valorie Jones , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1770216202

Psychiatric-Mental Health Nurse Practitioner

Dr. Cynthia Kardesch , MD

Physical Medicine & Rehabilitation

NPI 1841243888

Doctor of Medicine (M.D.)

Dr. Basheer Lotfi-Fard , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1659598860

Doctor of Medicine (M.D.)

Katharina Modes

Anesthesiology

NPI 1366608010

Career & Practice History Timeline

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

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 01, 2026

Recorded as SIMIN PARK, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2026

Surgery (license number reported to NPPES: WA MD.MD.70098439)

βœ…
NPI Profile Active March 09, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2022

Registered at 1465 S GRAND BLVD, SAINT LOUIS, MO 631041003 (Tel: 3145775600)

πŸ“
Business Mailing Address (Initial Record) March 09, 2022

Registered at 1402 S GRAND BLVD RM M260, SAINT LOUIS, MO 631041004 (Tel: 3149779581)

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2022

Recorded as SI-MIN PARK, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Specialist

🟒
Initial NPI Registration & Enumeration March 07, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1144977463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2022
Last Update: May 01, 2026
Sole Proprietor: No

Other Surgery Specialists in Saint Louis

All Surgery Specialists in Saint Louis

Mailing Address

1402 S Grand Blvd Rm M260

Saint Louis, MO 631041004

Phone: 3149779581

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.