Active NPI
Silas Hyun Seok Shin, DO
- Family Medicine Physician
- Bloomfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-06590
- Practice address
- 509 N Madison St
Bloomfield, IA 52537-1299 - Phone
- (434) 799-4488
- NPI assigned
- May 22, 2019
- Last updated
- Feb 13, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DO-06590 | IA | Primary |
Addresses
Primary practice location
509 N Madison St
Bloomfield, IA 52537-1299
Mailing address
509 N Madison St
Bloomfield, IA 52537-1299
Phone (641) 664-3832
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | silas.shin@davis.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Davis County Hospital
Practice addresses (Care Compare)
509 N Madison St
Bloomfield, IA 52537-1271
Phone (641) 664-2145
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-06590 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis County Hospital | Current | Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients | |
| Davis County Hospital | Past | Accepting new patients |
Locations
509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145
509 N Madison St
Ste 100
Bloomfield, IA 52537
Phone (641) 664-3832
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/639e10d5-cd9b-4520-ac16-cab58cec3fc7/
- silas.shin@davis.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Bloomfield, IA
- NPI 1487740486
-
- Critical Access Hospital
- Bloomfield, IA
- NPI 1942255666
-
dba Davis County Medical Associates
- Rural Health Clinic/Center
- Bloomfield, IA
- NPI 1821413667
-
- Skilled Nursing Facility
- Bloomfield, IA
- NPI 1437102068
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Bloomfield, IA
- NPI 1477508190
Nursing home
-
- Critical Access Hospital
- Bloomfield, IA
- NPI 1942255666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1740847045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N MADISON ST",
"city": "BLOOMFIELD",
"state": "IA",
"postal_code": "525371299",
"telephone_number": "641-664-3832",
"fax_number": "641-664-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N MADISON ST",
"city": "BLOOMFIELD",
"state": "IA",
"postal_code": "525371299",
"telephone_number": "434-799-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "SILAS",
"middle_name": "HYUN SEOK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-06590",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "silas.shin@davis.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Davis County Hospital & Clinics Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "509 N Madison St",
"city": "Bloomfield",
"state": "IA",
"country_code": "US",
"postal_code": "525371299",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.