Mike Shin, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

Q7791 Issued in TX

Practice address

121 Dekalb Ave
Brooklyn, NY 11201

Phone

(718) 250-8000

NPI assigned

Apr 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Miami, LM Miller School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

The Urgent Care Associates of Texas PLLCGroup PAC ID 1355665795, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 35)

Interoperability endpoints

• Direct secure messaging: mike.shin.1@13131.direct.athenahealth.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.

• The Urgent Care Associates of Texas, PLLC

  • Emergency Medicine Physician
  • Magnolia, TX
  • NPI 1235539933
  Medicare reassignment Care Compare group NPD
• Advanced Surgeons & Physicians Network, Inc.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1508030917

  Emergency Medicine

  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Integrative Emergency Services Physician Group-Houston PLLC

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708
  Medicare reassignment NPD
• Round Table Physicians Group PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bellaire, TX
  • NPI 1023439114
  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  TX

  Medicare reassignment NPD
• St Joseph Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1326324047
  Medicare reassignment NPD
• Woodlands Lone Star Emergency Physicians Group, PLLC

  • Emergency Medicine Physician
  • Magnolia, TX
  • NPI 1679994941
  Medicare reassignment NPD
• Round Table Specialist Group, PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1497152268
  NPD
• St Joseph Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1437407467
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Pearland, L.P.

  • General Acute Care Hospital
  • Pearland, TX
  • NPI 1609275585
  Care Compare affiliation

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1104213115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-250-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-250-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MIKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q7791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyun Joo Shin, M.D.
• Hyunji Shin
• Jae Hun Shin
• Jeonghyun Shin
• Julie Shin
• Richard D Shin, M.D.
• Soonye Shin, NURSE PRACTITIONER
• Wonyoung Shin
• Yoon Shin, MD
• Kazeem Shinaba

• Emergency Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; 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.