Active NPI
Jae Wook Shin, MD
- Clinical Cardiac Electrophysiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- V5346
- Practice address
- 6400 Fannin St Ste 2550
Houston, TX 77030-1538 - Phone
- (713) 486-1625
- Fax
- (713) 486-1631
- NPI assigned
- Jun 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | V5346 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St Ste 2550
Houston, TX 77030-1538
Mailing address
6400 Fannin St Ste 2550
Houston, TX 77030-1538
Phone (713) 486-1625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Drexel University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11920 Astoria Blvd
Houston, TX 77089-6097
Phone (713) 486-1420
Hospital & facility affiliations
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Hospital System
- HCA Houston Healthcare Clear Lake
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V5346 | TX | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Internal Medicine | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
6431 Fannin St
#1246
Houston, TX 77030
Phone (713) 500-6590
6400 Fannin St
Ste 2550
Houston, TX 77030
Phone (713) 486-1625
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6410 Fannin St
#135
Houston, TX 77030
11920 Astoria Blvd
Ste 470
Houston, TX 77089
Phone (713) 486-1420
6400 Fannin St
Houston, TX 77030
Phone (713) 704-4300
10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000
Organizations & group practices 2
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.
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1023547247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 2550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301538",
"telephone_number": "713-486-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 2550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301538",
"telephone_number": "713-486-1625",
"fax_number": "713-486-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "JAE WOOK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-10",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "V5346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.