Victor Shin, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

M9651 Issued in TX

Practice address

1820 Preston Park Blvd
Suite 1200
Plano, TX 75093-3656

Phone

(972) 696-9565

NPI assigned

Mar 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Diagnostic Radiology

Education

Columbia University College of Physicians and Surgeons, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
• Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
• Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025

Merit-based Incentive Payment System (MIPS)

Final score

78.88 of 100Reported as group

Quality

73.38

Improvement activities

40

Cost

78.42

Merit-based Incentive Payment System (MIPS)

Final score

91.4 of 100Reported as group

Quality

100

Improvement activities

40

Cost

71.34

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Texas Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1427016161
  Medicare reassignment Care Compare group NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Illinois Diagnostic and Interventional Radiology PLLC

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1114723608

  TX

  Medicare reassignment Care Compare group NPD
• North Star CN, LP

  • Radiology Clinic/Center
  • Carrollton, TX
  • NPI 1013305945
  Medicare reassignment NPD
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739
  Medicare reassignment NPD
• North Star FP, LP

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835
  Medicare reassignment NPD
• North Star GV, LP

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1922512664
  Medicare reassignment NPD
• North Star MCD, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1295496602
  Medicare reassignment NPD
• North Star MRI LP

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701
  Medicare reassignment NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759
  Medicare reassignment NPD
• Texas Tech University Health Sciences Center El Paso

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1598705055
  Medicare reassignment NPD
• Sol Radiology, Inc.

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1457928111

  TX

  Medicare reassignment NPD

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

• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Texas Health Presbyterian Hospital Allen

  • General Acute Care Hospital
  • Allen, TX
  • NPI 1548291883
  Care Compare affiliation
• Texas Health Presbyterian Hospital Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1003883158
  Care Compare affiliation
• Texas Health Presbyterian Hospital Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1770514077
  Care Compare affiliation
• Texas Heart Hospital of the Southwest, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340
  Care Compare affiliation

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1821118811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "SUITE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-696-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "SUITE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-696-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-6000",
            "fax_number": "915-545-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "226403",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M9651",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "M9651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "914T11",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02825721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiloh Family Medical Center PLLC
• Edward T Shin, M.D.
• Ho Chan Shin, D.C.
• Seungyoun Shin, DMD
• Timothy Shin
• Shine and Sparkle Dentistry PLLC
• Dilkhaz Issa Shini
• Renas Shini, R. PH
• Abeezar Tamim Shipchandler, M.D.
• Shippy Chiropractic

• Neuroradiology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Neuroradiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.

Verify at the official NPI Registry.