JAEEUN GO MD
NPI 1962080564
Family Medicine - Sports Medicine in Fort Worth, TX
About Jaeeun Go Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAEEUN GO MD (NPI 1962080564) is an individual sports medicine provider in Fort Worth, Texas, licensed in Texas (U3853) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Texas Health Hospital Mansfield, and is a graduate of Baylor College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jaeeun Go Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jaeeun Go reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burleson, TX 76028
- Reassigned Medicare billing, Texas enrollment
- 110 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texas Health Hospital Mansfield
Acute Care Hospitals · Mansfield, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Jaeeun Go's NPI number?
The NPI number for Jaeeun Go is 1962080564. It was assigned to this individual provider in the NPPES registry on April 1, 2021.
Where is Jaeeun Go located?
Jaeeun Go practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1244.
What is Jaeeun Go's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Jaeeun Go enrolled in Medicare?
Yes. Jaeeun Go is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jaeeun Go's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaeeun Go reassigns Medicare benefits to Huguley Medical Associates (Burleson, 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 Jaeeun Go's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaeeun Go accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Jaeeun Go 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.
Is Jaeeun Go affiliated with any hospitals?
According to CMS data, Jaeeun Go is affiliated with Texas Health Hospital Mansfield.
When was this NPI record last updated?
The NPPES record for Jaeeun Go was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Jaeeun Go, MD · NPI 1962080564
Sports Medicine physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 1, 2021.
## Identity
- **NPI:** 1962080564 (Entity type: Individual)
- **Enumerated:** April 1, 2021
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** U3853 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-1244
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Huguley Medical Associates (NPI 1629290929, Burleson, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962080564) · Data from the CMS NPPES public registry.