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So Youn Park

Surgery β€’ Austin, TX

Active NPI 1487218202 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4207 James Casey St Ste 304
Austin, TX 787451193

Call 5124284441 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

4207 James Casey St Ste 304

Austin, TX 787451193

Telephone 5124284441
Organization at the Same NPPES Address or Phone
Texas Acute Care Surgery Llc Facility NPI 1699430298

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: Texas Acute Care Surgery Llc. 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

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2019

Industry payments (Open Payments)

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

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 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

2019

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)

So Youn 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 So Youn 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 Austin and Texas

149 active clinicians are listed under Surgery with a practice address in Austin, TX (2,193 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

12.8% of these 149 clinicians have the CMS telehealth indicator.

53.7% of these 149 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: 2026-06-18
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES TX V9091

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.

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: Texas Medical Board.
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 - GENERAL SURGERY

Medicare Enrollment ID

I20251009004141

Enrollment State Jurisdiction

TX

PECOS Control ID

2860723897

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

Texas Acute Care Surgery Llc

4207 James Casey St, Austin, TX 787451193

Phone: 5124284441

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 June 18, 2026

Registered at 4207 JAMES CASEY ST STE 304, AUSTIN, TX 787451193 (Tel: 5124284441)

πŸ“
Updated Business Mailing Address June 18, 2026

Registered at 4207 JAMES CASEY ST STE 304, AUSTIN, TX 787451193 (Tel: 5124284441)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2026

Surgery (license number reported to NPPES: TX V9091)

βœ…
NPI Profile Active April 26, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 26, 2019

Registered at 425 W 59TH ST FL 7, NEW YORK, NY 100198022 (Tel: 5123501063)

πŸ“
Business Mailing Address (Initial Record) April 26, 2019

Registered at 425 W 59TH ST FL 7, NEW YORK, NY 100198022

πŸ‘€
Provider Name / Credentials (Initial Record) April 26, 2019

Recorded as SO YOUN PARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 26, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487218202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2019
Last Update: June 18, 2026
Sole Proprietor: No

Other Surgery Specialists in Austin

All Surgery Specialists in Austin

Mailing Address

4207 James Casey St Ste 304

Austin, TX 787451193

Phone: 5124284441

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.