Active NPI
Michael Shin, M.D.
- Emergency Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 75302
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (612) 262-9000
- NPI assigned
- Aug 16, 2008
- Last updated
- Jun 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 27
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
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 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 207 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emergency Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Aloha Wound Care Group LLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Sano Wound Care | Current | Accepting new patients | |
| Geniemd Medical Group, Mo, P.C. | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| United Wound Healing PS | Emergency Medicine | Current | Accepting new patients |
| North Hawaii Community Hospital, Inc | Current | Accepting new patients | |
| United Wound Healing Accountable Care Consultants PLLC | Current | Accepting new patients | |
| Allina Health System | Current | 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 | Past | 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
- 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.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Honolulu, HI
- NPI 1043657141
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Internal Medicine Physician
- Oakland, CA
- NPI 1639710643
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Nurse Practitioner
- Prosper, TX
- NPI 1548054794
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1013943414
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Puyallup, WA
- NPI 1669845327
Emergency Medicine, ID, OR, UT
-
dba Allina Health Professional Services
- Clinic/Center
- Minneapolis, MN
- NPI 1649563321
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba North Hawaii Ohana Care
- Home Health Agency
- Kamuela, HI
- NPI 1750476552
-
- Surgery Physician
- Puyallup, WA
- NPI 1881337632
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.