Individual provider Active NPI

Mike S. Shin, MD

  • Otolaryngology Physician
  • Hanford, CA
National Provider Identifier
1992791495
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A97516 Issued in CA
Practice address
860 W. Seventh St.
Hanford, CA 93230-4926
Phone
(559) 585-7252
Fax
(559) 585-7253
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 22219 OK
Pediatric Otolaryngology Physician 207YP0228X 22219 OK
Facial Plastic Surgery Physician 207YS0123X 22219 OK
Otolaryngic Allergy Physician 207YX0602X 22219 OK
Otolaryngology Physician 207Y00000X A97516 CA Primary

Addresses

Primary practice location

860 W. Seventh St.
Hanford, CA 93230-4926

Mailing address

860 W. Seventh St.
Hanford, CA 93230-4926
Phone (559) 585-7252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20071026000630 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5890882583 Reassigns benefits to 1 organization
Practice locations: Hanford, CA

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1850 Floral Ave
Selma, CA 93662-2871
Phone (559) 779-9222

860 W 7TH St
Hanford, CA 93230-4926
Phone (559) 585-7252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as individual
Quality
75.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97516CAMDOtolaryngology Physician
22219OKMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mike S. Shin M.D. Inc Otolaryngology CurrentSince Jul 23, 2007 Accepting new patients
Hanford Community Hospital Past Accepting new patients

Locations

470 Greenfield Ave
Ste 37
Hanford, CA 93230
Phone (559) 584-2759

860 W 7th St
Hanford, CA 93230
Phone (559) 578-2130

1850 Floral Ave
Selma, CA 93662
Phone (559) 721-4910

1142 Rose Ave
Ste A
Selma, CA 93662
Phone (559) 779-9222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFGFDD/Endpoint/AFGFDD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1992791495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 W. SEVENTH ST.",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-585-7252",
            "fax_number": "559-585-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W. SEVENTH ST.",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-585-7252",
            "fax_number": "559-585-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MIKE",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "22219",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "OK",
            "license": "22219",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OK",
            "license": "22219",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "OK",
            "license": "22219",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A97516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.