JAEEUN GO MD
NPI 1962080564
Family Medicine - Sports Medicine in Fort Worth, TX

Q: 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.

Q: What is Jaeeun Go's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: 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 6 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.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1244 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Jul 1, 2025, Apr 1, 2021 (3 updates tracked since 2021).

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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

NPI1962080564

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameJAEEUN GOCredential: MD

Location Address1500 S MAIN STFort Worth, TX 76104-4917

Mailing Address1670 E Broad St Ste 110Mansfield, TX 76063-1868 · (682) 341-7510 · Fax (682) 341-7511

Phone(817) 702-1244

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1962080564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in TX · U3853

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1500 S MAIN ST, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2365949237

PECOS Enrollment IDI20251007003735

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.

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, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670309

Location2300 Lone Star RoadMansfield, TX 76063 · Tarrant County

Emergency services Birthing friendly

Physician 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.

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.

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.

JONATHAN A LAZARINI MD

Family Medicine

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (903) 353-2265

ALLYSON EVANS

Nurse Anesthetist, Certified Registered

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (801) 792-5267

DR. TREVOR A JOHNSON MD

Family Medicine

1500 S MAIN ST
FT WORTH, TX 76104

Tarrant County (817) 702-3431

DR. LELIA ERRETT WILLIAMS MD

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-1244

MITCHELL JOHNSON

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-1100

RIDDHI RANE MD

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-6500

DR. JOANE BAUMER M.D.

Family Medicine

1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104

Tarrant County (817) 335-1034

SHARYL WORKMAN PA

Physician Assistant

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 927-1100

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.

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 6 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.