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

Dr. Susie Park, MD

Individual provider Pediatric Radiology Physician · NPI 1114177300

Dr. Susie Park, MD is an Interventional Radiology in Albany, New York. Qualified in 2007, 19 years ago. Practices with Los Alamitos Radiology Group Inc, a 68-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

43 New Scotland Ave Dept OF Radiology MC 113
Albany, NY 12208-3412
Phone: (518) 262-3722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence 267437 (NY)

Record details

NPI number1114177300
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 24, 2008
Last updated in NPPESJanuary 13, 2023

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Los Alamitos Radiology Group Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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