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NPI · 1962080564 · NPPES-sourced

Jaeeun Go MD

ActiveSports Medicine (Family Medicine) Physician
NPI Number
1962080564
Type 1 · Individual
Contact
(817) 702-1244
License TX · U3853
Last Updated
Enumerated
Primary practice addressTX · 76104-4917
1500 S Main StFort Worth, TX 76104-4917
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About this NPIWhat this record shows.

NPI 1962080564 is registered to Jaeeun Go MD, a Sports Medicine (Family Medicine) Physician practising at 1500 S Main St in Fort Worth, Texas. Sports Medicine (Family Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jaeeun Go MD has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jaeeun Go MD accepts. To confirm in-network status with your specific health plan, contact Jaeeun Go MD directly at (817) 702-1244.

Frequently asked

Yes. NPI 1962080564 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Sports Medicine (Family Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (817) 702-1244.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jaeeun Go MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207QS0010X
Last updated
Enumerated
StatusActive
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