Active NPI
Esther Soojin Shin, MD
- Family Medicine Physician
- Commerce City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0069312
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Partnership
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
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0069312 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Family Health | Current | Accepting new patients | |
| Salud Family Health | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Fort Lupton, CO
- NPI 1275530388
-
- Federally Qualified Health Center (FQHC)
- Fort Morgan, CO
- NPI 1740947407
-
- Federally Qualified Health Center (FQHC)
- Aurora, CO
- NPI 1134766553
-
- Federally Qualified Health Center (FQHC)
- Fort Lupton, CO
- NPI 1386777266
-
- Federally Qualified Health Center (FQHC)
- Frederick, CO
- NPI 1972636504
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.