Individual provider Active NPI

Janelle Young Shin, M.D.

  • Hospitalist Physician
  • Arlington, VA
National Provider Identifier
1073729653
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME 98229 Issued in FL
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

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10101273117VAMDInternal Medicine Physician
ME 98229FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Hma Physician Management LLC Internal Medicine Past Accepting new patients
Arlington Free Clinic PastSince Nov 17, 2024 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.

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

Verify at the official NPI Registry.