Individual provider Active NPI

William Jungho Shim, M.D.

  • Specialist
  • Tampa, FL
National Provider Identifier
1306932959
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0053771 Issued in MD
Practice address
2727 W Dr Martin Luther King Jr Blvd Ste 530
Tampa, FL 33607-6000
Phone
(240) 631-1036
Fax
(781) 784-4299
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0053771 MD Primary
Rheumatology Physician 207RR0500X ME139857 FL

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd Ste 530
Tampa, FL 33607-6000

Mailing address

12513 Bridgeton Dr
Potomac, MD 20854-1027
Phone (240) 631-1036

Other identifiers 1

IdentifierTypeStateIssuer
000374300 MDMedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200115002963 FL Practitioner - Rheumatology 3870508104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

1831 N Belcher Rd
Suite D2
Clearwater, FL 33765-1450
Phone (727) 734-6631

2727 W Dr Martin Luther King Jr Blvd
Suite 530
Tampa, FL 33607-6000
Phone (813) 694-7598

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053771MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates LLC Rheumatology CurrentSince Dec 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631

2727 W Mlk Blvd
Ste 530
Tampa, FL 33607
Phone (240) 631-1036

Interoperability endpoints

  • Direct secure messaging: william.shim.p63@direct.aara1.nextgenshare.com

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1306932959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12513 BRIDGETON DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541027",
            "telephone_number": "240-631-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 530",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076000",
            "telephone_number": "240-631-1036",
            "fax_number": "781-784-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "WILLIAM",
        "middle_name": "JUNGHO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0053771",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME139857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000374300 MD",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.