DR. SUNG IL TAYLOR (D.O.) – Family Medicine Physician, NPI 1477552917

DR. SUNG IL TAYLOR (D.O.) is a healthcare provider. based in Melbourne, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 34007174-T (OH). The NPI Number for DR. SUNG IL TAYLOR (D.O.) is 1477552917

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUNG IL TAYLOR (D.O.)
NPI
1477552917
Phone
(321) 726-1600
Address
1800 W HIBISCUS BLVD STE 101
Enumeration Date
18 July 2005
Last Update Date
19 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722264200
Graduation Year
1998 (28 years ago)
PAC ID
5698735280
Group Practice PAC ID
9234130329
Professional Enrollment ID
I20100406000507
Address ID
FL329583783SE801XXWAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. SUNG IL TAYLOR (D.O.)

  • 101, West Hibiscus Boulevard, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329012624

    Phone: (321) 726-1600

    Fax: (321) 726-1610

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-04-06

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
I20100406000507IFamily PracticeFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes411373$0
99203New patient office or other outpatient visit, 30-44 minutes146146$0
99214Established patient office or other outpatient visit, 30-39 minutes139134$0
99202New patient office or other outpatient visit, 15-29 minutes6969$0
99212Established patient office or other outpatient visit, 10-19 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Provider's Procedures

DR. SUNG IL TAYLOR (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3030

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: 9234130329View full group profile
NameSpecialtyState
N E U R O L O G YNJ
-FL
-FL
R H E U M A T O L O G YOH
Family PracticeWI
Critical Care (Intensivists), Pulmonary DiseaseOH
Orthopedic SurgeryFL
-FL
Family PracticeFL
Internal MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to DR. SUNG IL TAYLOR (D.O.)?
The federal identifier for DR. SUNG IL TAYLOR (D.O.) is NPI 1477552917.
Is DR. SUNG IL TAYLOR (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. SUNG IL TAYLOR (D.O.) treat or focus on?
Patients typically see DR. SUNG IL TAYLOR (D.O.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SUNG IL TAYLOR (D.O.)?
The snapshot lists Melbourne, Florida for DR. SUNG IL TAYLOR (D.O.); download NPPES for the complete set.
How can I contact DR. SUNG IL TAYLOR (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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