Individual provider Active NPI

Shinta Jong, M.D

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1154501799
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T5140 Issued in TX
Practice address
5425 W Spring Creek Pkwy Ste 175
Plano, TX 75024-4345
Phone
(469) 699-8983
Fax
(833) 972-8242
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 65974-20 WI
Internal Medicine Physician 207R00000X T5140 TX Primary
Internal Medicine Physician 207R00000X 036-121516 IL

Addresses

Primary practice location

5425 W Spring Creek Pkwy Ste 175
Plano, TX 75024-4345

Mailing address

5425 W Spring Creek Pkwy Ste 175
Plano, TX 75024-4345
Phone (469) 699-8983

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shinta.jong.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220801002591 TX Practitioner - Internal Medicine 1850438342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seen Medical Group of TX PAGroup PAC ID 6901342997, 4 clinicians

Practice addresses (Care Compare)

5425 W Spring Creek Pkwy
Suite 175
Plano, TX 75024-4345
Phone (469) 699-8983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-121516ILMDInternal Medicine Physician
65974-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seen Medical Group of TX, PA CurrentSince Aug 1, 2024 Accepting new patients
Seen Medical Group, P.a. Internal Medicine Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 175
Plano, TX 75024
Phone (214) 473-2200

Interoperability endpoints

  • Direct secure messaging: shinta.jong.1@27511.direct.athenahealth.com

Organizations & group practices 3

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1154501799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 175",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244345",
            "telephone_number": "469-699-8983",
            "fax_number": "833-972-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 175",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244345",
            "telephone_number": "469-699-8983",
            "fax_number": "833-972-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONG",
        "first_name": "SHINTA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "65974-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T5140",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-121516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shinta.jong.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "1020 N Collins St",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760116134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.