DR. DAVID SHIN M.D.
NPI 1194139253
Family Medicine - Sports Medicine in San Jose, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show David Shin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oxnard, CA 93036
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAN JOSE, CA 95128
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.
Which organizations bill Medicare for David Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Shin reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Oxnard, CA) and Memorialcare Medical Foundation (Fountain Valley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Shin was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. David Shin, M.D. · NPI 1194139253
Sports Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since June 17, 2014.
## Identity
- **NPI:** 1194139253 (Entity type: Individual)
- **Enumerated:** June 17, 2014
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** A138961 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 455 OCONNOR DR, SUITE 250, San Jose, CA 95128-1633
- **Phone:** (408) 283-7676
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1275756652, Oxnard, CA); Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2014
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194139253) · Data from the CMS NPPES public registry.