Active NPI
Khin Shwe Win, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1265720619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 262602
- Practice address
- 279 E 3Rd Street
New York, NY 10009 - Phone
- (212) 477-8500
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 262602 | NY | |
| General Acute Care Hospital | 282N00000X | 262602 | NY | |
| Internal Medicine Physician | 207R00000X | 262602 | NY | Primary |
Addresses
Primary practice location
279 E 3Rd Street
New York, NY 10009
Mailing address
279 E 3Rd Street
New York, NY 10009
Phone (212) 477-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03422259 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171205001572 | NY | Order and Referring Only - Internal Medicine | 7517132608 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262602 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Shih Wang Physician PC | Internal Medicine | Past | Accepting new patients |
| Dr Jingbo Liu Physician PC | Internal Medicine | Past | Accepting new patients |
| St. Nicholas Medical PC | Clinic/Center | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Myrtle Ave Medical PLLC | Internal Medicine | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- kwin562597@nychhc.direct-ci.com
Organizations & group practices 5
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.
-
dba Doctors Immedicare
- Internal Medicine Physician
- West Hempstead, NY
- NPI 1053685727
-
dba Doctors Immedicare
- Family Medicine Physician
- West Hempstead, NY
- NPI 1154529667
Internal Medicine
-
- Internal Medicine Physician
- Glendale, NY
- NPI 1831069061
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1265720619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 E 3RD STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10009",
"telephone_number": "212-477-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 E 3RD STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10009",
"telephone_number": "212-477-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIN",
"first_name": "KHIN",
"middle_name": "SHWE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "262602",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "262602",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "262602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03422259",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.