Individual provider Active NPI

Esther Shin, DPM

  • Podiatrist
  • Newtown, PA
National Provider Identifier
1639564362
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006690 Issued in PA
Practice address
12 Penns TRL Ste 154
Newtown, PA 18940-3438
Phone
(888) 964-6681
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006690 PA
Podiatrist 213E00000X SC006690 PA Primary

Addresses

Primary practice location

12 Penns TRL Ste 154
Newtown, PA 18940-3438

Mailing address

20 Windermere Dr
Blue Bell, PA 19422-1448
Phone (267) 603-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912000086 PA Practitioner - Podiatry 8123325982 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifecare Podiatry, P.C.Group PAC ID 1951290279, 8 clinicians

Practice addresses (Care Compare)

237 N Aberdeen Ave
Wayne, PA 19087-3537
Phone (610) 293-9383

Merit-based Incentive Payment System (MIPS)

Final score
94.08 of 100Reported as group
Quality
73.79
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1139
Removal or shaving of skin growth249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006690PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Oct 7, 2019 Accepting new patients
Springfield Podiatry LLC Podiatrist CurrentSince Jul 30, 2018 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Oct 7, 2019 Accepting new patients
Lifecare Podiatry, P.C. Podiatrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

648 Childs Ave
Drexel Hill, PA 19026
Phone (484) 380-9989

12 Penns Trl
Ste 154
Newtown, PA 18940
Phone (215) 675-3005

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

4401 Haverford Ave
Philadelphia, PA 19104
Phone (215) 349-8800

7310 Stenton Ave
Philadelphia, PA 19150
Phone (215) 242-2727

237 N Aberdeen Ave
#1
Wayne, PA 19087

237 N Aberdeen Ave
Wayne, PA 19087
Phone (215) 641-5300

1113 Easton Rd
Willow Grove, PA 19090
Phone (215) 659-3060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12226/brand/1/csg/1/fhir/r4
  • Direct secure messaging: esther.shin.1@12226.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1639564362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINDERMERE DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221448",
            "telephone_number": "267-603-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PENNS TRL STE 154",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403438",
            "telephone_number": "888-964-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ESTHER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006690",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.