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NPI · 1194712455 · NPPES-sourced

Dr. Tracy Park MD

ActivePhysical Medicine & Rehabilitation
NPI Number
1194712455
Type 1 · Individual
Taxonomy Code
208100000X
Contact
(414) 385-8800
License WI · 30606
Last Updated
About 3 years ago (Jan 2023)
Enumerated 2005-10-03
Primary practice addressWI · 53215-1748
4111 W Mitchell St, Ste 300Milwaukee, WI 53215-1748
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About this NPIWhat this record shows.

NPI 1194712455 is registered to Dr. Tracy Park MD, a Physical Medicine & Rehabilitation practising at 4111 W Mitchell St, Ste 300 in Milwaukee, Wisconsin. Physical Medicine & Rehabilitation is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Tracy Park MD has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-10-03
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Tracy Park MD accepts. To confirm in-network status with your specific health plan, contact Dr. Tracy Park MD directly at (414) 385-8800.

Frequently asked

Yes. NPI 1194712455 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Medicine & Rehabilitation is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (414) 385-8800.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Tracy Park MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208100000X
Last updated2023-01
Enumerated2005-10-03
StatusActive
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