Individual provider Active NPI

Michael Shin, M.D.

  • Emergency Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1720234180
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
75302 Issued in MN
Practice address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone
(612) 262-9000
NPI assigned
Aug 16, 2008
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD15588 HI
Emergency Medicine Physician 207P00000X 75302 MN Primary

Addresses

Primary practice location

2925 Chicago Ave
Minneapolis, MN 55407-1321

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

2477 Halekoa Dr
Honolulu, HI 96821-1039
Phone (718) 473-2913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, WA, IN, IA, CO, NM, ID, MT, TN, MA, ME, RI, MI, MO, NE, OH, VA, CT, KS, SC, KY, MN, CA, GA, OR, UT, TX27 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 27

Enrollment IDStateProvider typePAC IDDetails
I20100914000087 HI Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 3 organizations
I20230502001650 WA Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 1 organization
I20231024003802 IN Practitioner - Emergency Medicine 6800911926
I20231030002216 IA Practitioner - Emergency Medicine 6800911926
I20231101001721 CO Practitioner - Emergency Medicine 6800911926
I20231102000232 NM Practitioner - Emergency Medicine 6800911926
I20231103000696 ID Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 1 organization
I20231103002480 MT Practitioner - Emergency Medicine 6800911926
I20231103003284 TN Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 1 organization
I20231106000974 MA Practitioner - Emergency Medicine 6800911926
I20231107000861 ME Practitioner - Emergency Medicine 6800911926
I20231107001333 RI Practitioner - Emergency Medicine 6800911926
I20231108003661 MI Practitioner - Emergency Medicine 6800911926
I20231109001571 MO Practitioner - Emergency Medicine 6800911926
I20231109001840 NE Practitioner - Emergency Medicine 6800911926
I20231110002588 OH Practitioner - Emergency Medicine 6800911926
I20231114003021 VA Practitioner - Emergency Medicine 6800911926
I20231116000843 CT Practitioner - Emergency Medicine 6800911926
I20231120001589 KS Practitioner - Emergency Medicine 6800911926
I20231122000055 SC Practitioner - Emergency Medicine 6800911926
I20231128002515 KY Practitioner - Emergency Medicine 6800911926
I20231208002941 MN Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 1 organization
I20240219002656 CA Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 1 organization
I20240226003708 GA Practitioner - Emergency Medicine 6800911926
I20250114001582 OR Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 1 organization
I20250115001719 UT Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 1 organization
I20250612000795 TX Practitioner - Emergency Medicine 6800911926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aloha Wound Care Group LLCGroup PAC ID 7517192362, 23 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-5011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue207
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Emergency Group, Inc. Emergency Medicine CurrentSince Aug 14, 2014 Accepting new patients
Aloha Wound Care Group LLC CurrentSince Sep 1, 2013 Accepting new patients
Allina Health System Current Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jun 5, 2019 Accepting new patients
Sano Wound Care CurrentSince Apr 4, 2025 Accepting new patients
Geniemd Medical Group, Mo, P.C. CurrentSince Jan 6, 2024 Accepting new patients
Allina Health System CurrentSince Dec 29, 2023 Accepting new patients
United Wound Healing PS Emergency Medicine CurrentSince Nov 11, 2024 Accepting new patients
North Hawaii Community Hospital, Inc CurrentSince Jun 5, 2019 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC CurrentSince Dec 1, 2024 Accepting new patients
Allina Health System CurrentSince Dec 29, 2023 Accepting new patients
Honokaa Hospital & Skilled Nursing Past Accepting new patients
The Queens Medical Center Past Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
Molokai General Hospital Past Accepting new patients
Kohala Hospital Past Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients
Pacific Vascular Institute-Kona PastSince Nov 1, 2020 Accepting new patients

Locations

1111 Broadway
Ste 300
Oakland, CA 94607
Phone (281) 948-8014

6612 Owens Dr
Pleasanton, CA 94588
Phone (928) 460-9191

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

770 Kapiolani Blvd
Ste 705
Honolulu, HI 96813
Phone (808) 597-8778

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

500 S 8th St
Boise, ID 83702

210 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone (208) 664-2185

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2890 Ocean Blvd SE
Coos Bay, OR 97420
Phone (541) 267-5433

2300 Warren St
Eugene, OR 97405
Phone (541) 686-2828

5200 Meadows Rd
Ste 200
Lake Oswego, OR 97035
Phone (503) 345-3260

9750 NE Glisan St
Portland, OR 97220
Phone (503) 256-3920

130 N Preston Rd
Ste 209
Prosper, TX 75078
Phone (469) 693-2052

2750 N Digital Dr
Lehi, UT 84043
Phone (385) 374-5600

3115 E Lion Ln
Ste 160
Salt Lake City, UT 84121
Phone (435) 649-4139

2825 E Cottonwood Pkwy
Ste 500
Salt Lake Cty, UT 84121
Phone (801) 653-3111

32300 1st Ave S
Federal Way, WA 98003
Phone (253) 874-3580

413 29th St NE
Ste I
Puyallup, WA 98372

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

80 SW 2nd St
Renton, WA 98057
Phone (425) 226-4510

Interoperability endpoints

  • Direct secure messaging: michael.shin@hawaiihie.medicity.net

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1218844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1720234180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2477 Halekoa Dr",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968211039",
            "country_code": "US",
            "telephone_number": "718-473-2913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-16",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD15588",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "75302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.