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DR. DAVID SHIN M.D.
NPI 1194139253
Family Medicine - Sports Medicine in San Jose, CA

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment
455 OCONNOR DR, SUITE 250, SAN JOSE, CA 95128(408) 283-7676 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Shin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID SHIN M.D. (NPI 1194139253) is an individual sports medicine provider in San Jose, California, licensed in California (A138961) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2014).

NPPES Registry Identity

NPI1194139253
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. DAVID SHINCredential: M.D.
Location Address455 OCONNOR DR, SUITE 250San Jose, CA 95128-1633
Mailing Address450 E Spring St Ste 1Long Beach, CA 90806-1625 · (562) 933-0050
Phone(408) 283-7676
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2014
Enumeration DateJune 17, 2014
Last NPPES UpdateNovember 29, 2021
✔ NPI 1194139253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A138961
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
455 OCONNOR DR, San Jose, CA 95128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Shin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133493331
PECOS Enrollment IDI20180717001631
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRIS CHUNG, MD, INC.
Family Medicine (Sports Medicine)
455 OCONNOR DR, #150
SAN JOSE, CA 95128
Santa Clara County (408) 293-7767
DR. AMY G WATSON MD
Family Medicine
455 OCONNOR DR, SUITE 200
SAN JOSE, CA 95128
Santa Clara County (408) 283-7676
MICHAEL JAMES HENEHAN DO
Family Medicine
455 OCONNOR DR, STE 210
SAN JOSE, CA 95128
Santa Clara County (408) 995-5453
ANNIE BERTHA-CHAO CHERN M.D.
Family Medicine
455 OCONNOR DR, SUITE 210
SAN JOSE, CA 95128
Santa Clara County (408) 995-5453
AESTHETIC AND REFRACTIVE SURGERY MEDICAL CENTER, INC.
Specialist
455 OCONNOR DR, SUITE 180B
SAN JOSE, CA 95128
Santa Clara County (408) 998-8109
DR. DALJEET RAI M.D.
Family Medicine
455 OCONNOR DR, STE 210
SAN JOSE, CA 95128
Santa Clara County (408) 995-5453
RICHARD IAN ROSS
Emergency Medicine
455 OCONNOR DR, SUITE 250
SAN JOSE, CA 95128
Santa Clara County (408) 283-7767
ROBERT MICHAEL NORMAN M.D.
Family Medicine
455 OCONNOR DR, STE210
SAN JOSE, CA 95128
Santa Clara County (408) 995-5453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Shin's NPI number?

The NPI number for David Shin is 1194139253. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is David Shin located?

David Shin practices at 455 Oconnor Dr Suite 250, San Jose, CA 95128. The listed phone number is (408) 283-7676.

What is David Shin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is David Shin enrolled in Medicare?

Yes. David Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Shin was last updated on November 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.