Active NPI
Janelle Young Shin, M.D.
- Hospitalist Physician
- Arlington, VA
National Provider Identifier
1073729653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME 98229
- Practice address
- 2921 11TH St S
Arlington, VA 22204-0827 - Phone
- (703) 979-1425
- Fax
- (703) 979-1436
- NPI assigned
- May 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10101273117 | VA | |
| Hospitalist Physician | 208M00000X | ME 98229 | FL | Primary |
Addresses
Primary practice location
2921 11TH St S
Arlington, VA 22204-0827
Mailing address
2921 11TH St S
Arlington, VA 22204-0827
Phone (703) 979-1425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10101273117 | VA | MD | Internal Medicine Physician |
| ME 98229 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Hma Physician Management LLC | Internal Medicine | Past | Accepting new patients |
| Arlington Free Clinic | Past | Accepting new patients |
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.
-
- Community Health Clinic/Center
- Arlington, VA
- NPI 1548493984
-
- Internal Medicine Physician
- Venice, FL
- NPI 1407806094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1073729653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 11TH ST S",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222040827",
"telephone_number": "703-979-1425",
"fax_number": "703-979-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 11TH ST S",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222040827",
"telephone_number": "703-979-1425",
"fax_number": "703-979-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "JANELLE",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "10101273117",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME 98229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.