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Dr. Tiffany Ruth Park , DO

General Practice β€’ San Antonio, TX

Active NPI 1285476507 Individual Practitioner Female Practitioner
Practice location in NPPES

3551 Roger Brooke Dr
San Antonio, TX 782344504

Call 2109164141 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

3551 Roger Brooke Dr

San Antonio, TX 782344504

Telephone 2109164141
Organization at the Same NPPES Address or Phone
Amc Bamc-Fsh Facility NPI 1538251764

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

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

2024

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 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 San Antonio and Texas

91 active clinicians are listed under General Practice with a practice address in San Antonio, TX (1,066 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Antonio

2.2% of these 91 clinicians have the CMS telehealth indicator.

20.9% of these 91 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: 2025-12-13
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES CO DR.0076342

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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

ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20260226001530

Enrollment State Jurisdiction

CO

PECOS Control ID

3476034554

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.

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
NPI 1639526718

Doctor of Medicine (M.D.)

Dr. Tyson Becker , MD

Surgery - Surgical Critical Care

NPI 1205068111

Doctor of Medicine (M.D.)

Lakeisha Bell , FNP

Nurse Practitioner - Family

NPI 1407165277

Family Nurse Practitioner

NPI 1528035482

Doctor of Medicine (M.D.)

Dr. Josh Bukowski , MD

Emergency Medicine

NPI 1629400486

Doctor of Medicine (M.D.)

Jennifer Cepeda , OTR, MOT

Occupational Therapist

NPI 1639754427

Occupational Therapist Registered, Master of Occupational Therapy

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Business Mailing Address December 13, 2025

Registered at 340 TREELINE PARK APT 636, SAN ANTONIO, TX 782091839 (Tel: 9703617082)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2025

General Practice (license number reported to NPPES: CO DR.0076342)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Military Health Care Provider

βœ…
NPI Profile Active June 07, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 07, 2024

Registered at 3551 ROGER BROOKE DR, SAN ANTONIO, TX 782344504 (Tel: 2109164141)

πŸ“
Business Mailing Address (Initial Record) June 07, 2024

Registered at 2607 BLUFF XING, SAN ANTONIO, TX 782441000 (Tel: 9703617082)

πŸ‘€
Provider Name / Credentials (Initial Record) June 07, 2024

Recorded as TIFFANY PARK, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 07, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285476507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2024
Last Update: December 13, 2025
Sole Proprietor: No

Other General Practices in San Antonio

All General Practices in San Antonio

Mailing Address

340 Treeline Park Apt 636

San Antonio, TX 782091839

Phone: 9703617082

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.