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CHONGSUH BAE DNP
NPI 1487300398
Nurse Practitioner - Family in Benbrook, TX

Active since March 01, 2022PECOS Enrolled
1160 SOPWITH CT, BENBROOK, TX 76126(817) 353-0132 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Chongsuh Bae Dnp NPPES

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

CHONGSUH BAE DNP (NPI 1487300398) is an individual family provider in Benbrook, Texas, licensed in Texas (1044451) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487300398
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHONGSUH BAECredential: DNP
Location Address1160 SOPWITH CTBenbrook, TX 76126-4284
Mailing Address1160 Sopwith CtBenbrook, TX 76126-4284 · (817) 353-0132
Phone(817) 353-0132
Sole ProprietorYes
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1487300398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1044451
1160 SOPWITH CT, Benbrook, TX 76126
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chongsuh Bae Dnp 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 Reassignments

2

Medicare enrollment records show Chongsuh Bae reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC
8.3 mi
Family Medicine
1301 W 7TH ST, STE 121
Fort Worth, TX 76102
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1205165875 (817) 348-0425
Signify Health Medical Associates, PLLC
39 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Chongsuh Bae's NPI number?

The NPI number for Chongsuh Bae is 1487300398. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Chongsuh Bae located?

Chongsuh Bae practices at 1160 Sopwith Ct, Benbrook, TX 76126. The listed phone number is (817) 353-0132.

What is Chongsuh Bae's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chongsuh Bae enrolled in Medicare?

Yes. Chongsuh Bae is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chongsuh Bae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chongsuh Bae reassigns Medicare benefits to 2 organizations: Vpa Of Texas PLLC (Fort Worth, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Chongsuh Bae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chongsuh Bae was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.