Edward T Shin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L7179 Issued in TX

Practice address

5804 Communications Pkwy Ste 100
Plano, TX 75093-7810

Phone

(972) 772-4539

Fax

(972) 772-8099

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Interventional Pain Management

Education

Temple University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.4 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

74.66

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.

• Edward T Shin MD PA

  • Interventional Pain Medicine Physician
  • Plano, TX
  • NPI 1245385566
  Medicare reassignment NPD Authorized official
• Addison Anesthesia PLLC

  • Anesthesiology Physician
  • Addison, TX
  • NPI 1770160616
  NPD
• Southeastern Anesthesia and Pain Management Group, PC

  • Anesthesiology Physician
  • Statesboro, GA
  • NPI 1285603779
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1427084433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262349",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750262349",
            "telephone_number": "972-772-4539",
            "fax_number": "972-772-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 COMMUNICATIONS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937810",
            "telephone_number": "972-772-4539",
            "fax_number": "972-772-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "EDWARD",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L7179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Jack Shih, MD
• Yu Chan Shih, AUD
• Yu-Chan Shih
• Shikaripur Manjunath, MD, PA
• Shiloh Family Medical Center PLLC
• Ho Chan Shin, D.C.
• Seungyoun Shin, DMD
• Timothy Shin
• Victor Shin, MD
• Shine and Sparkle Dentistry PLLC

• Specialist in Plano, TX
• Providers in Plano, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.