Active NPI
Mike S. Shin, MD
- Otolaryngology Physician
- Hanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A97516
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- 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 100
- Quality
- 75.3
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 21 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97516 | CA | MD | Otolaryngology Physician |
| 22219 | OK | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mike S. Shin M.D. Inc | Otolaryngology | Current | 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
- 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.
-
- Otolaryngology Physician
- Hanford, CA
- NPI 1497987143
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
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
- Hanna Mae Sheeran, OTD, OTR/L
- Meaghan Sheerin
- Sheikh a. Latif DO a Professional Corporation (DBA Valley Endovascular Institute of Surgery DBA Calstatesurgeons, P.C)
- Abigail Shepherd
- Sharen Sara Shibu
- Candida Lee Shinnaberry, AMFT
- Sharlene Shiu, LAC. OMD.
- Anthony Shoan
- Sara Shuey, PT, DPT
- Shyam Bhaskar, M.D. Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.