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

Dr. John Moonkeun Park, MD

Individual provider Vascular Surgery Physician · NPI 1023394665

Dr. John Moonkeun Park, MD is a Vascular Surgery in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2005, 21 years ago. Practices with Vascular and Interventional Radiology of Siouxland, a 24-clinician group and accepts Medicare assignment. Licensed in Iowa, Nebraska and Ohio.

Years since qualifying
21
Trained at
University of Nebraska College of Medicine
Licensed in
IA, NE, OH
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

17404 Burke St Ste 102
Omaha, NE 68118-2242
Phone: (531) 466-4260
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 26509 (NE)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 35.095909 (OH)
Surgery Physician Taxonomy 208600000X · Licence 35.095909 (OH)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 40563 (IA)

Record details

NPI number1023394665
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2011
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Vascular And Interventional Radiology Of Siouxland — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Omaha