Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Park, MD, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992267587

Benjamin Park, MD, PHD is an Interventional Radiology in Stanford, California. Graduated from Illinois Medical College in 2019, 7 years ago. Practices with Newport Harbor Radiology Associates Medical Group Inc, a 70-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
Illinois Medical College
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 497-5415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1992267587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedApril 2, 2019
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 6, 2020
Mailing address2900 N Lake Shore Dr, Chicago, IL 60657-5640

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolILLINOIS MEDICAL COLLEGE
Graduated 2019 (7 years in practice)
Group practice Newport Harbor Radiology Associates Medical Group Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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