Jung Wha Kim-Shapiro, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

2007-00166 Issued in NC

Practice address

10 Medical Park Dr
Suite 5
Lexington, NC 27292-5075

Phone

(336) 224-1482

Fax

(336) 236-4684

NPI assigned

Jul 8, 2007

Sex

Female

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 NC

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

Pathology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lexington Memorial Hospital Inc Hospital, Lexington, NC, CCN 340096
• North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
• High Point Regional Health System Hospital, High Point, NC, CCN 340004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkimshapiro2755146@carolinashealthcaresystem.direct-ci.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.

• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment Care Compare group NPD
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Lexington, NC
  • NPI 1639454499
  NPD (past)

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

• High Point Regional Health

  dba High Point Regional

  • General Acute Care Hospital
  • High Point, NC
  • NPI 1396746228
  Care Compare affiliation
• Lexington Medical Center

  • General Acute Care Hospital
  • Lexington, NC
  • NPI 1417958331
  Care Compare affiliation
• North Carolina Baptist Hospital

  • Psychiatric Hospital Unit
  • Winston Salem, NC
  • NPI 1063480531
  Care Compare affiliation
• North Carolina Baptist Hospital

  • Rehabilitation Hospital Unit
  • Winston Salem, NC
  • NPI 1114995677
  Care Compare affiliation
• North Carolina Baptist Hospital

  dba Wake Forest Baptist Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1144211301
  Care Compare affiliation
• North Carolina Baptist Hospital

  dba Wake Forest Baptist Medical Center

  • Clinical Medical Laboratory
  • Winston Salem, NC
  • NPI 1609162098

  Hospital

  Care Compare affiliation
• North Carolina Baptist Hospital

  dba Winston East Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Winston Salem, NC
  • NPI 1912179219

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1183852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1205034527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PARK DR",
            "address_2": "SUITE 5",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272925075",
            "telephone_number": "336-224-1482",
            "fax_number": "336-236-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PARK DR",
            "address_2": "SUITE 5",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272925075",
            "telephone_number": "336-224-1482",
            "fax_number": "336-236-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM-SHAPIRO",
        "first_name": "JUNG",
        "middle_name": "WHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-08",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2007-00166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909821",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kernersville Eye Associates, OD PA
• Kerr Drug Inc (Kerr Drug)
• Michael Dennis Kesinger
• James Michael Kidder, M.D.
• Kids Advantage
• Kindred Counseling and Consulting Services
• Jennifer Holt King, FNP
• Terry Randall King, RPH
• Kinley Enterprise, Inc.
• Toni Tysinger Kinley, OTR/L

• Anatomic Pathology & Clinical Pathology Physician in Lexington, NC
• Providers in Lexington, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.