NPPES file of Aug 9, 2026

Tracy A. Park, MD

Physical Medicine & Rehabilitation Physician · Milwaukee, WI

Tracy A. Park, MD is a physical medicine & rehabilitation physician with a practice address in Milwaukee, Wisconsin, and NPI 1194712455, issued on Oct 3, 2005. Check the license (Wisconsin 30606, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1194712455
Name
Tracy A. Park
Credential
MD
Primary taxonomy
Physical Medicine & Rehabilitation Physician 208100000X
License numbers
30606 WI
30606-020 WI
Self-reported in NPPES; status is on the state search
Practice location
4111 W Mitchell St, Milwaukee, WI 53215
Phone
(414) 385-8800
Enumerated
Oct 3, 2005
Record last updated
Jan 26, 2023
Medicaid ID
31539700 WI
Medicare enrollment
Enrolled (PECOS I20080719000117); accepts Medicare assignment
Medical or professional school
Wright State University Boonshoft School Of Medicine, 1985
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physical medicine & rehabilitation physician records → All 321 in Wisconsin → Look up another NPI →

Also registered at 4111 W Mitchell St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Cynthia Bellanger, AGPCNP-BCNurse Practitioner1164887063
  2. Miriam ColtonNurse Practitioner1720387913
  3. Kay Fischer, NPNurse Practitioner1346564929
  4. Kelly Kreger, OTD, OTR/LOccupational Therapist1205657947
  5. Jacquelyn Kubiak, P.T.Physical Therapist1083157473
  6. John Leslie, OTR/LOccupational Therapist1396214714

Verify Tracy A. Park in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 30606    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Aurora Medical Group, Inc.Milwaukee, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Tracy A. Park among 321 physical medicine & rehabilitation physician records in Wisconsin

Tracy A. Park, MD is one of 321 physical medicine & rehabilitation physician records with a practice address in Wisconsin. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 92% newer
  • In a Medicare fileYes · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 54% of these records are
  • Graduated1985 · median 2007 among the 172 with a school on file
  • Record last updated2023 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Medicine & Rehabilitation Physician providers in Wisconsin

There are 321 physical medicine & rehabilitation physician records in Wisconsin.

All 321 in Wisconsin → Every provider in Milwaukee → Physical Medicine & Rehabilitation Physician nationwide →

The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes

  1. Ram Bhala, M.D.Milwaukee, WI 532151194848283
  2. Christopher Cronsell, MDMilwaukee, WI 532151831212109
  3. Mustafa Farooque, MDMilwaukee, WI 532151902901598
  4. Abe Goldbaum, M.D.Milwaukee, WI 532151285693648
  5. Kandavar Gopal, MDMilwaukee, WI 532151124068259
  6. Kim Hansen, MDMilwaukee, WI 532151134144850
  7. Scott Hardin, MDMilwaukee, WI 532151518074129
  8. Amit Jhaveri, M.D.Milwaukee, WI 532151326007949

Common questions

What is Tracy A. Park, MD's NPI number?

Tracy A. Park, MD's National Provider Identifier (NPI) is 1194712455, issued on Oct 3, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Tracy A. Park, MD located?

The NPPES record lists a practice address at 4111 W Mitchell St, Milwaukee, WI, 53215. Phone: (414) 385-8800. Providers update this record themselves, so call before visiting.

How can I verify Tracy A. Park, MD's license?

NPPES lists Wisconsin license number 30606, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.