Individual provider Active NPI

Esther Soojin Shin, MD

  • Family Medicine Physician
  • Commerce City, CO
National Provider Identifier
1336700335
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0069312 Issued in CO
Practice address
6255 Quebec Pkwy
Commerce City, CO 80022-4812
Phone
(303) 697-2583
Fax
(303) 286-4970
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0069312 CO Primary

Addresses

Primary practice location

6255 Quebec Pkwy
Commerce City, CO 80022-4812

Mailing address

203 S Rollie Ave
Fort Lupton, CO 80621-1508
Phone (303) 892-6401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220929001866 CO Practitioner - Family Practice 2365828241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Salud Family HealthGroup PAC ID 3173433398, 75 clinicians

Practice addresses (Care Compare)

13659 E 104TH Ave
Suite 300 400
Commerce City, CO 80022-9402
Phone (720) 506-5340

6255 N Quebec Pkwy
Commerce City, CO 80022-5400
Phone (303) 286-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0069312COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Family Health Current Accepting new patients
Salud Family Health CurrentSince Oct 24, 2022 Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients

Locations

1860 E Egbert St
Brighton, CO 80601
Phone (303) 659-4000

6255 Quebec Pkwy
Commerce City, CO 80022
Phone (303) 286-8900

203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560

5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050

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.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1336700335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ROLLIE AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211508",
            "telephone_number": "303-892-6401",
            "fax_number": "303-286-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 QUEBEC PKWY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224812",
            "telephone_number": "303-697-2583",
            "fax_number": "303-286-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ESTHER",
        "middle_name": "SOOJIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0069312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

Verify at the official NPI Registry.