Individual provider Active NPI

Sun Byun, DPM

  • Podiatrist
  • Glen Burnie, MD
National Provider Identifier
1720510225
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01776 Issued in MD
Practice address
795 Aquahart Rd Ste 125
Glen Burnie, MD 21061-3905
Phone
(410) 768-0702
NPI assigned
Apr 3, 2017
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 01176 MD
Foot Surgery Podiatrist 213ES0131X 01176 MD
Podiatrist 213E00000X 01776 MD Primary

Addresses

Primary practice location

795 Aquahart Rd Ste 125
Glen Burnie, MD 21061-3905

Mailing address

795 Aquahart Rd Ste 125
Glen Burnie, MD 21061-3905
Phone (410) 768-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200818002622 VA Practitioner - Podiatry 9830515071 Reassigns benefits to 1 organization
I20240112003098 MD Practitioner - Podiatry 9830515071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates PAGroup PAC ID 3072599943, 18 clinicians
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians

Practice addresses (Care Compare)

1 N Main St
Suite 1
Bel Air, MD 21014-3592
Phone (410) 879-1212

1205 York Rd
Lutherville, MD 21093-6211
Phone (410) 879-1212

795 Aquahart Rd
Suite 125
Glen Burnie, MD 21061-3905
Phone (410) 768-0702

Merit-based Incentive Payment System (MIPS)

Final score
78.44 of 100Reported as group
Quality
59.97
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of skin lesions28
Removal of nail tissue851
Removal or shaving of skin growth355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01776MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Bouraee, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2020 Accepting new patients
Podiatry Associates, P.a. Podiatrist CurrentSince Jan 15, 2024 Accepting new patients
Vital Path Care PC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
Sara Bouraee, LLC Podiatrist CurrentSince Aug 1, 2020 Accepting new patients

Locations

1 N Main St
Bel Air, MD 21014
Phone (410) 803-0788

1 N Main St
Ste 1
Bel Air, MD 21014
Phone (410) 927-3510

2 E Rolling Xrds
Ste 55
Catonsville, MD 21228
Phone (410) 265-5300

795 Aquahart Rd
Ste 125
Glen Burnie, MD 21061
Phone (410) 768-0702

1205 York Rd
Ste 17
Timonium, MD 21093
Phone (410) 583-9206

2114 Hartford Rd
#A
Hampton, VA 23666
Phone (757) 220-3311

1155 Professional Dr
Williamsburg, VA 23185
Phone (757) 220-3311

Interoperability endpoints

  • Direct secure messaging: sun.byun.1@6814.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1720510225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 AQUAHART RD STE 125",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613905",
            "telephone_number": "410-768-0702",
            "fax_number": "410-768-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 AQUAHART RD STE 125",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613905",
            "telephone_number": "410-768-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYUN",
        "first_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MD",
            "license": "01176",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01176",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.