Active NPI
Paul Ray Shin, MD
- Urology Physician
- Washington, DC
National Provider Identifier
1891864617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD034652
- Practice address
- 2021 K St NW
Suite 408
Washington, DC 20006-1003 - Phone
- (202) 223-1024
- Fax
- (202) 223-2152
- NPI assigned
- Nov 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD034652 | DC | Primary |
Addresses
Primary practice location
2021 K St NW
Suite 408
Washington, DC 20006-1003
Mailing address
2021 K St NW
Suite 408
Washington, DC 20006-1003
Phone (202) 223-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034652 | DC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Shady Grove Fertility Reproductive Science Center | Past | Accepting new patients | |
| Shady Grove Reproductive Science Center PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Reproductive Endocrinology Physician
- Rockville, MD
- NPI 1891849832
-
dba SGFC Surgery Center
- Ambulatory Surgical Clinic/Center
- Rockville, MD
- NPI 1437232758
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891864617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 K ST NW",
"address_2": "SUITE 408",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003",
"telephone_number": "202-223-1024",
"fax_number": "202-223-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 K ST NW",
"address_2": "SUITE 408",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003",
"telephone_number": "202-223-1024",
"fax_number": "202-223-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "PAUL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "DC",
"license": "MD034652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.