DR. SUNG TAE BYUN (MD) – Hematology & Oncology Physician, NPI 1194769810

DR. SUNG TAE BYUN (MD) is a healthcare provider. based in Fort myers, Florida. specializing in Hematology & Oncology Physician. They hold the professional credentials MD. They hold a License No. ME72379 (FL). The NPI Number for DR. SUNG TAE BYUN (MD) is 1194769810

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUNG TAE BYUN (MD)
NPI
1194769810
Phone
(239) 274-8200
Address
4371 VERONICA S SHOEMAKER BLVD
Enumeration Date
15 June 2006
Last Update Date
3 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7276832900
Graduation Year
1987 (39 years ago)
PAC ID
8729091202
Group Practice PAC ID
2567356058
Professional Enrollment ID
I20060731000132
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. SUNG TAE BYUN (MD)

  • Veronica S Shoemaker Blvd, Fort Myers, Lee County, Florida, 33916, United States

    ATTN CREDENTIALING

    FORT MYERS, FL 339162216

    Phone: (239) 274-8200

    Fax: (239) 278-3350

    Type: Mailing

  • 8787 BRYAN DAIRY RD

    SUITE 210

    LARGO, FL 337771251

    Phone: (727) 397-9641

    Fax: (727) 393-4194

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: ABBVIE INC. ($71).

Total Amount

$71

General + Research + Ownership

Payments

3

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$71
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060731000132IHematology/OncologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33916)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567356058View full group profile
NameSpecialtyState
Medical OncologyFL
Medical Oncology, Hematology/OncologyFL
H E M A T O L O G Y/ O N C O L O G YFL
H E M A T O L O G Y/ O N C O L O G YFL
Internal Medicine, Hematology/OncologyFL
-GA
Hematology/Oncology, Internal MedicineGA
H E M A T O L O G Y/ O N C O L O G YFL
Hospice/Palliative Care, Internal MedicineFL
H E M A T O L O G Y/ O N C O L O G YGA

Reviews

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Frequently asked questions

What is the standard ID for DR. SUNG TAE BYUN (MD) in the U.S.?
In the U.S., DR. SUNG TAE BYUN (MD) is identified by NPI 1194769810.
Is DR. SUNG TAE BYUN (MD)'s NPI status active today?
Active status means DR. SUNG TAE BYUN (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. SUNG TAE BYUN (MD) provide?
DR. SUNG TAE BYUN (MD)'s profile centers on Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SUNG TAE BYUN (MD)?
DR. SUNG TAE BYUN (MD) is associated with Fort Myers, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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