Active NPI
Shinta Jong, M.D
- Internal Medicine Physician
- Plano, TX
National Provider Identifier
1154501799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T5140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-121516 | IL | MD | Internal Medicine Physician |
| 65974-20 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seen Medical Group of TX, PA | Current | 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
- 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.
-
- Adult Medicine Physician
- Plano, TX
- NPI 1447019310
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Internal Medicine Physician
- Needham, MA
- NPI 1831944370
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.