Active NPI
Sun Byun, DPM
- Podiatrist
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 01776
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 59.97
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 63 |
| Removal of skin lesions | 28 |
| Removal of nail tissue | 851 |
| Removal or shaving of skin growth | 355 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01776 | MD | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Bouraee, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Podiatry Associates, P.a. | Podiatrist | Current | Accepting new patients |
| Vital Path Care PC | Podiatrist | Current | Accepting new patients |
| Sara Bouraee, LLC | Podiatrist | Current | 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
- 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.
-
- Primary Podiatric Medicine Podiatrist
- Bel Air, MD
- NPI 1487879938
-
- Podiatrist
- Williamsburg, VA
- NPI 1942479662
-
dba Hampton Roads Foot and Ankle-Hampton
- Foot & Ankle Surgery Podiatrist
- Hampton, VA
- NPI 1467014001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.