DR. SHINE JOHN DPM
NPI 1245407295
Podiatrist - Foot & Ankle Surgery in Austin, TX

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
11614 FM 2244 RD STE 150, AUSTIN, TX 78738(512) 399-5711(512) 399-5707 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Dec 9, 2020 (2 updates tracked since 2020).

About Dr. Shine John Dpm NPPES

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

DR. SHINE JOHN DPM (NPI 1245407295) is an individual foot & ankle surgery provider in Austin, Texas, licensed in Texas (1910) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2005).

NPPES Registry Identity

NPI1245407295
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SHINE JOHNCredential: DPM
Location Address11614 FM 2244 RD STE 150Austin, TX 78738-5471
Mailing Address11614 Fm 2244 Rd Ste 150Austin, TX 78738-5471 · (512) 399-5711 · Fax (512) 399-5707
Fax(512) 399-5707
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2005
Enumeration DateMay 9, 2008
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1245407295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in TX · 1910
Also ListedPodiatristTaxonomy 213E00000X · License 016005365 (IL), 1910 (TX)
11614 FM 2244 RD STE 150, Austin, TX 78738

Other Identifiers 2

Other016005365IL · Il State License
Other1910TX · State Of Texas

Accepted Insurance

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. Shine John Dpm 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 ID5294809133
PECOS Enrollment IDI20090924000051
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services138 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
183 services114 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
117 services117 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services14 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
16 services16 patients

Other Providers at the Same Location NPPES 2

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

Podiatrist
11614 FM 2244 RD STE 150
AUSTIN, TX 78738
Podiatrist
11614 FM 2244 RD STE 150
AUSTIN, TX 78738

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 Shine John's NPI number?

The NPI number for Shine John is 1245407295. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Shine John located?

Shine John practices at 11614 Fm 2244 Rd Ste 150, Austin, TX 78738. The listed phone number is (512) 399-5711.

What is Shine John's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shine John enrolled in Medicare?

Yes. Shine John 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.

What insurance does Shine John accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Shine John as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shine John was last updated on August 16, 2022. 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.