Individual provider Active NPI

Jaehoon Shin, M.D., PH.D.

  • Vascular & Interventional Radiology Physician
  • San Francisco, CA
National Provider Identifier
1376907691
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A157366 Issued in CA
Practice address
505 Parnassus Ave # M391
San Francisco, CA 94143-2204
Phone
(415) 476-1537
Fax
(415) 476-0616
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A157366 CA Primary
Diagnostic Radiology Physician 2085R0202X A157366 CA

Addresses

Primary practice location

505 Parnassus Ave # M391
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave # M391
San Francisco, CA 94143-2204
Phone (415) 476-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220711001478 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1254711005 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians
Radiologic Consultants, LTDGroup PAC ID 3971498841, 20 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000

185 Berry St
San Francisco, CA 94107-5705
Phone (415) 476-1000

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

731 44TH Ave
San Francisco, CA 94121-3305
Phone (724) 832-8004

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Highland Hospital Hospital, Oakland, CA, CCN 050320

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
86.44 of 100Reported as individual
Quality
95
Improvement activities
0
Cost
80.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157366CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jun 27, 2022 Accepting new patients
Alameda Health System CurrentSince Mar 31, 2024 Accepting new patients
Radiologic Consultants, LTD Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Jun 27, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 27, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 27, 2022 Accepting new patients
Alameda Health System CurrentSince Mar 31, 2024 Accepting new patients
Alameda Health System Past Accepting new patients
University of California San Francisco Past Accepting new patients
Radiologic Consultants LTD Diagnostic Radiology Past Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
#M391
San Francisco, CA 94143
Phone (415) 476-1537

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
Ste M391
San Francisco, CA 94143
Phone (415) 443-0193

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1100 Summit Dr
#100
Greensburg, PA 15601
Phone (724) 837-7930

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

508 S Church St
Mt Pleasant, PA 15666
Phone (724) 547-1500

Interoperability endpoints

  • Direct secure messaging: jshin86472@direct-ucsfmedicalcenter.org

Organizations & group practices 11

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1376907691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M391",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1537",
            "fax_number": "415-476-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M391",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1537",
            "fax_number": "415-476-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JAEHOON",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A157366",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A157366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.