Grace S Shin, M.D.

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

7373 Issued in NV

Practice address

6028 S Fort Apache Rd Ste 101
Las Vegas, NV 89148-5612

Phone

(702) 896-2020

Fax

(702) 896-2025

NPI assigned

Oct 12, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in NV

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 1

Specialty

Ophthalmology

Education

Tulane University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.98 of 100Reported as individual

Quality

91.96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: graceshinkwok@idealeyecarelv.direct.eyemdemr.com

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.

• Grace S Shin MD LTD

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1164668661
  Medicare reassignment
• Las Vegas Surgicare LTD

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1467415513
  NPD (past)
• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1689611774
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063501500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S FORT APACHE RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485612",
            "telephone_number": "702-896-2020",
            "fax_number": "702-896-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S FORT APACHE RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485612",
            "telephone_number": "702-896-2020",
            "fax_number": "702-896-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "GRACE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "7373",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NV",
            "license": "7373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019646",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shin Medical Group
• Elizabeth Shin, PA-C
• Elliot Shin, MD
• Eugene Shin, M.D.
• Eunsook Shin, DDS
• Hae Ra Shin
• Hye Min Shin
• Ji Shin
• Juyoung Shin
• Kwang Chul Shin, M.D.

• Pediatric Ophthalmology and Strabismus Specialist Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.