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

Dr. Tony J Park, MD

Individual provider Family Medicine Physician · NPI 1760707608

Dr. Tony J Park, MD is a Family Practice in Denver, Colorado. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2010, 16 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Illinois.

Years since qualifying
16
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CO, IL
In the registry since
2010
Specialties on file
2
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

1375 E 20th Ave
Denver, CO 80205-5422
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0052360 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036.131305 (IL)

Record details

NPI number1760707608
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2010
Last updated in NPPESFebruary 4, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2010 (16 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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