Organization Active NPI

Care MD Clinic PLLC

  • Internal Medicine Physician
  • Little Elm, TX
National Provider Identifier
1265150148
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARE MD CLINIC PLLC
Practice address
2601 Little Elm Pkwy Ste 2501
Little Elm, TX 75068-2542
Phone
(972) 972-4234
Fax
(972) 777-1090
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Taek Soo Shin, MDNPI 1417169376
Title
Physician/Owner
Phone
(972) 972-4234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2601 Little Elm Pkwy Ste 2501
Little Elm, TX 75068-2542

Mailing address

2601 Little Elm Pkwy Ste 2501
Little Elm, TX 75068-2542
Phone (972) 638-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220927002660 TX Part B Supplier - Clinic/Group Practice 6002292125 Receives reassigned benefits from 1 practitioner
Practice locations: Little Elm, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2275662Care MD Clinic, PLLC2601 Little Elm Pkwy Suite 1404, Little Elm, TX 75068Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

Locations

2601 Little Elm Pkwy
Ste 1404
Little Elm, TX 75068
Phone (972) 638-0033

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1265150148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 2501",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682542",
            "telephone_number": "972-638-0033",
            "fax_number": "972-777-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 2501",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682542",
            "telephone_number": "972-972-4234",
            "fax_number": "972-777-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MD CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "TAEK SOO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-972-4234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.