DR. YOUNG SUP BYUN M.D.
NPI 1255523171
Pediatrics - Neonatal-Perinatal Medicine in Fort Worth, TX

Q: What is Young Byun's NPI number?

The NPI number for Young Byun is 1255523171. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Q: What is Young Byun's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Young Byun was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2007PECOS Enrolled

1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 250-2892(817) 250-5335 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Young Sup Byun M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YOUNG SUP BYUN M.D. (NPI 1255523171) is an individual neonatal-perinatal medicine provider in Fort Worth, Texas, licensed in Texas (P6349) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255523171

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. YOUNG SUP BYUNCredential: M.D.

Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122

Mailing Address1301 Pennsylvania AveFort Worth, TX 76104-2122 · (817) 250-2892 · Fax (817) 250-5335

Phone(817) 250-2892

Fax(817) 250-5335

Sole ProprietorYes

Enumeration DateAugust 14, 2007

Last NPPES UpdateJanuary 19, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1255523171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in TX · P6349

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Young Sup Byun M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEIDI DANIELLE TOMLINSON M.D.

Pediatrics

1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104

Tarrant County (817) 250-2892

RICARDO VILLARREAL JR. MD

Internal Medicine