John C Shin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G77943 Issued in CA

Practice address

901 E St
Ste 285
San Rafael, CA 94901-2850

Phone

(415) 454-5565

Fax

(415) 454-2957

NPI assigned

May 31, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marin Ophthalmic Consultants, a Medical CorporationGroup PAC ID 6901790062, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.45 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

74.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.shin.p1@direct.marineyes.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Marin Ophthalmic Consultants, a Medical Corporation

  • Specialist
  • San Rafael, CA
  • NPI 1447253919
  Medicare reassignment Care Compare group NPD
• Marin Ophthalmic Consultants

  • Specialist
  • Novato, CA
  • NPI 1225016769
  NPD
• Marin Ophthalmic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Rafael, CA
  • NPI 1336143148
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1114920477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E ST",
            "address_2": "STE 285",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012850",
            "telephone_number": "415-454-5565",
            "fax_number": "415-454-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E ST",
            "address_2": "STE 285",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012850",
            "telephone_number": "415-454-5565",
            "fax_number": "415-454-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G77943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0015750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Michael Sherfield
• David Scott Sherman, R.PH.
• Jessica Jude Sherman, MFT
• Frank Larry Sherwood Jr.
• David Shevick, L.AC.
• Katherine Shine, M.S.
• Sharon Shirado, RDA
• Carolyn M. Shore, M.D.
• Elizaveta Shostakovich, MD
• Barbara Shreibman, FNP

• Specialist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.