Taek Soo Shin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

S5269 Issued in TX

Practice address

2601 Little Elm Pkwy Ste 2501
Little Elm, TX 75068-6706

Phone

(972) 972-4234

NPI assigned

May 4, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.shin@cmcp-tx1.direct.office.nextgen.com
• Direct secure messaging: taeksoo.shin@614997451800580.direct.elationemr.com

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.

• Care MD Clinic PLLC

  • Internal Medicine Physician
  • Little Elm, TX
  • NPI 1265150148
  Medicare reassignment NPD Authorized official
• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Little Lantern Clinic LLC

  • General Practice Physician
  • Carrollton, TX
  • NPI 1114409133

  Internal Medicine

  Medicare reassignment NPD
• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • Mexia, TX
  • NPI 1699869289

  Internal Medicine

  NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• Hospital Medicine Consultants LLC

  • Hospitalist Physician
  • Elgin, IL
  • NPI 1831424936
  NPD (past)
• Midwest Neoped Associates LTD

  • Specialist
  • Oak Brook, IL
  • NPI 1396792180
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1417169376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 2501",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686706",
            "telephone_number": "972-972-4234",
            "fax_number": "972-777-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 2501",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686706",
            "telephone_number": "972-972-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "TAEK SOO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-116597",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036116597",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P00855816",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preethi Sethuraman
• Sha Ja Personal Suppourt Assistance Services LLC
• Shai Patel DDS PLLC
• Razel Sheppard
• Lawrence Minho Shin, D.D.S.
• Paul Sienkiewich, DPT
• Aqsa Iqbal Sindhu
• Marian Jeanette Singleton, M.S., CCC-SLP
• Eden T Sirak, MD
• Jay Michael Skipper, DMD

• Internal Medicine Physician in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.