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Dr. Daniel Jun Park , MD

Pediatrics • Tyler, TX

Active NPI 1063875292 Individual Practitioner Male Practitioner
Practice location in NPPES

8288 S Broadway Ave
Tyler, TX 757035262

Call 9036067060 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

8288 S Broadway Ave

Tyler, TX 757035262

Telephone 9036067060
Fax 9036067129

Industry payments (Open Payments)

Fewer than 11 payment records totaling $17.34 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2016

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, “Does 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 Tyler and Texas

54 active clinicians are listed under Pediatrics with a practice address in Tyler, TX (5,642 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tyler

0% of these 54 clinicians have the CMS telehealth indicator.

3.7% of these 54 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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 · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $17.34.

Manufacturer Payment Nature Product Type Amount ($)
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $17.34

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX S0046

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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 - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210617002342

Enrollment State Jurisdiction

TX

PECOS Control ID

5092115600

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.

9 listed
NPI 1720660053

Doctor of Medicine (M.D.)

Dr. Kent Davis , MD

Internal Medicine - Geriatric Medicine

NPI 1548259179

Doctor of Medicine (M.D.)

Dr. Andrea Ellis , MD

Family Medicine

NPI 1063661148

Doctor of Medicine (M.D.)

Dr. Gale Hobson , MD

Family Medicine

NPI 1487893525

Doctor of Medicine (M.D.)

Dr. John Page , DO, PA

Family Medicine

NPI 1376549246

Doctor of Osteopathic Medicine (D.O.), Physician Assistant

NPI 1003881608

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 17, 2026

Registered at 8288 S BROADWAY AVE, TYLER, TX 757035262 (Tel: 9036067060)

📍
Updated Business Mailing Address March 17, 2026

Registered at 8288 S BROADWAY AVE, TYLER, TX 757035262 (Tel: 9036067060)

📍
Updated Practice Location September 20, 2024

Registered at 706 TURTLE CREEK DR, TYLER, TX 757011833 (Tel: 9035953942)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Pediatrics (license number reported to NPPES: TX S0046)

✅
NPI Profile Active April 04, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 04, 2016

Registered at 4900 MUELLER BLVD, SUITE 3S.066C, AUSTIN, TX 787233079 (Tel: 5123240165)

📍
Business Mailing Address (Initial Record) April 04, 2016

Registered at 4900 MUELLER BLVD, SUITE 3S.066C, AUSTIN, TX 787233079 (Tel: 5123240165)

👤
Provider Name / Credentials (Initial Record) April 04, 2016

Recorded as DANIEL PARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2016

Pediatrics (license number reported to NPPES: TX BP10055839)

🟢
Initial NPI Registration & Enumeration April 04, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063875292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2016
Last Update: March 17, 2026
Sole Proprietor: No

Other Pediatrics Specialists in Tyler

All Pediatrics Specialists in Tyler

Mailing Address

8288 S Broadway Ave

Tyler, TX 757035262

Phone: 9036067060

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.