Individual provider Active NPI

Minchul Francis Shin, M..D.

  • Diagnostic Radiology Physician
  • Newark, DE
National Provider Identifier
1598979544
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C1-0009672 Issued in DE
Practice address
4755 Ogletown Stanton Rd
Department of Radiology
Newark, DE 19718-2200
Phone
(302) 733-1806
Fax
(302) 733-1808
NPI assigned
May 9, 2007
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NA NJ
Diagnostic Radiology Physician 2085R0202X C1-0009672 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Department of Radiology
Newark, DE 19718-2200

Mailing address

4755 Ogletown Stanton Rd
Department of Radiology
Newark, DE 19718-2200
Phone (302) 733-1806

Other identifiers 1

IdentifierTypeStateIssuer
1598979544MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20110707000193 DE Practitioner - Diagnostic Radiology 9739211368 Reassigns benefits to 3 organizations
I20140425001292 PA Practitioner - Diagnostic Radiology 9739211368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

100 S Main St
Smyma, DE 19977-1479

124 Sleepy Hollow Dr
Middletown, DE 19709-5838
Phone (302) 449-3030

161 Wilmington W Chester Pike
CCHS Concord Endocrinology
Chadds Ford, PA 19317-9041
Phone (610) 361-1042

1666 Waterglen Dr
West Chester, PA 19382-6900
Phone (302) 733-1806

200 Hygeia Dr
Newark, DE 19713-2049

300 Biddle Ave
BLDG Suite200
Newark, DE 19702-3969
Phone (302) 838-4750

4701 Ogletown Stanton Rd
Newark, DE 19713-2055
Phone (302) 623-3605

4735 Ogletown Stanton Rd
Newark, DE 19713-2072
Phone (302) 623-0200

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

621 Middletown Odessa Rd
Middletown, DE 19709-9602
Phone (302) 203-2260

900 W Baltimore Pike
Suite 102
West Grove, PA 19390-9313
Phone (302) 838-3088

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Mar 25, 2014 Accepting new patients
Christiana Care Health Services, Inc Diagnostic Radiology CurrentSince Jan 19, 2014 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Oct 1, 2024 Accepting new patients
Christiana Care Pennsylvania Inc Diagnostic Radiology Current Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Oct 1, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 31, 2012 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Dec 31, 2012 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Jan 1, 2013 Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
X-Ray Associates P.a. Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1598979544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1806",
            "fax_number": "302-733-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1806",
            "fax_number": "302-733-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MINCHUL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M..D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "NA",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0009672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598979544",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.