Thomas A Shin, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

036119760 Issued in IL

Practice address

430 Warrenville Rd
Lisle, IL 60532-1348

Phone

(630) 432-6745

Fax

(630) 432-6608

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

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 2

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Wayne State University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians

Munster Radiology Group PCGroup PAC ID 1951299940, 26 clinicians

Powers Health Diagnostic Group LLCGroup PAC ID 8820573280, 25 clinicians

Radpod FL PLLCGroup PAC ID 9133624745, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Munster, IN, CCN 150125
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Illinois Diagnostic and Interventional Radiology PLLC

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1114723608
  Medicare reassignment Care Compare group NPD
• Munster Radiology Group PC

  • Diagnostic Radiology Physician
  • Munster, IN
  • NPI 1144207101

  IL, Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Powers Health Diagnostic Group LLC

  • Diagnostic Radiology Physician
  • Munster, IN
  • NPI 1265391742

  IL

  Medicare reassignment Care Compare group
• Radpod FL PLLC

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
  • NPI 1730075672

  IL

  Medicare reassignment Care Compare group
• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193
  Medicare reassignment NPD
• Riverside Health System

  • Psychiatry Physician
  • Kankakee, IL
  • NPI 1336354430
  NPD
• Cher LLC

  • Diagnostic Radiology Physician
  • Fort Collins, CO
  • NPI 1346855905
  NPD
• Cher LLC

  • Diagnostic Radiology Physician
  • Longmont, CO
  • NPI 1629527494
  NPD
• Cher LLC

  • Diagnostic Radiology Physician
  • Castle Rock, CO
  • NPI 1700322260
  NPD
• Cher LLC

  • Diagnostic Radiology Physician
  • Greeley, CO
  • NPI 1801580147
  NPD
• Cher LLC

  • Diagnostic Radiology Physician
  • Littleton, CO
  • NPI 1811404965
  NPD
• Cher, LLC

  • Diagnostic Radiology Physician
  • Parker, CO
  • NPI 1023091121
  NPD

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

• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation
• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation
• Munster Medical Research Foundation Inc

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation
• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1689776882
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1386852010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742807",
            "telephone_number": "219-836-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WARRENVILLE RD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321348",
            "telephone_number": "630-432-6745",
            "fax_number": "630-432-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101236094",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01064613A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036119760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasir Shahab, MD
• Charity Faith Shaw Moyado, LCSW
• Melissa M Sheehy, RD
• Judith A Sheldon, APN
• Ted C Shieh, M.D.
• Sara Margaret Shinault, WHNP
• Saud Siddiqui, MD
• Silly Goose Speech Therapy, PLLC
• Luann Silzer
• Peter Sismour

• Vascular & Interventional Radiology Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Vascular & Interventional Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.

Verify at the official NPI Registry.