Sung Hyun Paek, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

S2449 Issued in TX

Practice address

3001 George Bush Hwy Ste 250
Richardson, TX 75082-3552

Phone

(214) 343-6663

Fax

(214) 343-2814

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• David Sung Paek Other name

Medicare fee-for-service enrollment

Enrolled in CA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children's Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  Medicare reassignment NPD
• Children's Hospital

  dba Children's National Specialty Pharmacy

  • Community/Retail Pharmacy
  • Silver Spring, MD
  • NPI 1326878349
  NPD
• Children's Hospital

  dba Children's National Medical Associates

  • Pediatrics Physician
  • Washington, DC
  • NPI 1780800128
  NPD
• Columbia Hospital at Medical City Dallas Subsidiary LP

  dba Medical City Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  NPD (past)
• Magella Medical Associates Billing, Inc.

  dba Magella Medical Associates

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071
  NPD (past)
• Methodist Hospitals of Dallas

  dba Methodist Richardson Medical Center

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  NPD (past)
• Methodist Hospitals of Dallas

  dba Methodist Dallas Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1023209327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GEORGE BUSH HWY STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823552",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GEORGE BUSH HWY STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823552",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 South Halcyon Rd",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203898",
            "country_code": "US",
            "telephone_number": "805-481-3652",
            "fax_number": "805-481-1017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAEK",
        "first_name": "SUNG",
        "middle_name": "HYUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A101637",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "S2449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "ZZZ52117Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHC-COASTAL MEDICAL CENTER -MEDICARE GROUP NUMBER",
            "identifier": "W1508",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70593F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "PAEK",
            "middle_name": "SUNG",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Sue Pack
• Robert C. Packard, DMD, MS
• Holly Packer, LCSW
• Catherine Annette Padilla, DDS
• Karen Padilla, M.S., C.N.I.M.
• Paige Capital Group, LLC (ComForCare Home Care - Dallas/Garland)
• Pain Management Physicians of Dallas PLLC (Dallas Pain Consultants)
• Palm Springs Partners,LLC (Maxim Surgical)
• Lauren Nicole Palmer, LPC
• Lisa Ann Palmer, OT

• Neonatal-Perinatal Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Neonatal-Perinatal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.