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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2026, Aug 19, 2026 (2 updates tracked since 2026).

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 UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Young Byun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrix Medical Group Of Texas Billing, Inc.
232 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3117
JANA MITCHELL RNC
Registered Nurse (Neonatal Intensive Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3120
STACY LYNN ROSEBROOK APRN, NNP-BC
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3120
JESSE BURNETT PHARMD
Pharmacist
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-2000
ALLYSON CLAIRE MURRAY MSN, RNC, NNP
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-2000
MS. PATRICIA L. GILLUM CRNA
Nurse Anesthetist, Certified Registered
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-3680
EMILY SUE WOOD RNC, NNP
Nurse Practitioner (Neonatal, Critical Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-2892

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Young Byun located?

Young Byun practices at 1301 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 250-2892.

What is Young Byun's specialty?

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

Is Young Byun enrolled in Medicare?

Yes. Young Byun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Young Byun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Young Byun reassigns Medicare benefits to Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Young Byun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Young Byun accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Young Byun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Young Byun was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.