DR. MARIE WONKYONG SHIN DPM
NPI 1275824971
Podiatrist - Primary Podiatric Medicine in Garden Grove, CA

Q: What is Marie Shin's NPI number?

The NPI number for Marie Shin is 1275824971. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Q: What is Marie Shin's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Q: When was this NPI record last updated?

The NPPES record for Marie Shin was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since April 28, 2011PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

12665 GARDEN GROVE BLVD STE 203, GARDEN GROVE, CA 92843(714) 620-4699(888) 866-7055 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Marie Wonkyong Shin Dpm NPPES

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

DR. MARIE WONKYONG SHIN DPM (NPI 1275824971) is an individual primary podiatric medicine provider in Garden Grove, California, licensed in California (5711) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Barry University School Of Podiatric Medicine (2009).

NPPES Registry Identity

NPI1275824971

Entity TypeIndividualFemale

Primary Taxonomy213EP1101X

Provider Legal NameDR. MARIE WONKYONG SHINCredential: DPM

Location Address12665 GARDEN GROVE BLVD STE 203Garden Grove, CA 92843-1916

Mailing Address12665 Garden Grove Blvd Ste 203Garden Grove, CA 92843-1916 · (714) 620-4699 · Fax (888) 866-7055

Phone(714) 620-4699

Fax(888) 866-7055

Sole ProprietorYes

Medical School CMSBarry University School Of Podiatric MedicineGraduated 2009

Enumeration DateApril 28, 2011

Last NPPES UpdateAugust 26, 2025

NPPES CertifiedAugust 20, 2025

✔ NPI 1275824971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

License✔ Licensed in CA · 5711

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 5711 (CA)

12665 GARDEN GROVE BLVD STE 203, Garden Grove, CA 92843

Open in Google Maps ↗

Secondary Practice Location 1

Location 14816 E 3rd StLos Angeles, CA 90022-1602 · Phone (323) 780-4510 · Fax (323) 669-4346

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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. Marie Wonkyong Shin 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 ID3476793704

PECOS Enrollment IDI20210112002755

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.

Medicare Billing Reassignments

Medicare enrollment records show Marie Shin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garden Grove Podiatry

Same address

Foot & Ankle Surgery

12665 GARDEN GROVE BLVD STE 203
Garden Grove, CA 92843

Reassigned Medicare billing, California enrollment

NPI 1447847546 (714) 620-4699

Gracelight Community Health

23 mi

Federally Qualified Health Center (FQHC)

4816 E 3RD ST
Los Angeles, CA 90022

Reassigned Medicare billing, California enrollment
75 clinicians in this Medicare group

NPI 1104075282 (323) 780-4510

Optum Medical Care Of New Jersey PC

2,458 mi

Pediatrics

1 DAKOTA DR
New Hyde Park, NY 11042

Reassigned Medicare billing, New Jersey enrollment
417 clinicians in this Medicare group

NPI 1578665048 (516) 627-1811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

590 services177 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.

61 services61 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

31 services19 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

21 services21 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.

17 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Other Providers at the Same Location NPPES 3

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

DR. SE-YOUNG LEE M.D.

Internal Medicine

12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA 92843

Orange County (714) 468-5490

SE-YOUNG LEE MD INC

Internal Medicine

12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA 92843

Orange County (714) 468-5490

GARDEN GROVE PODIATRY

Podiatrist (Foot & Ankle Surgery)

12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA 92843

Orange County (714) 620-4699

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 Marie Shin's NPI number?

The NPI number for Marie Shin is 1275824971. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Where is Marie Shin located?

Marie Shin practices at 12665 Garden Grove Blvd Ste 203, Garden Grove, CA 92843. The listed phone number is (714) 620-4699.

What is Marie Shin's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Marie Shin enrolled in Medicare?

Yes. Marie 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 Marie Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Shin reassigns Medicare benefits to 3 organizations: Garden Grove Podiatry (Garden Grove, CA), Gracelight Community Health (Los Angeles, CA) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Marie Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Shin accept?

Health plans from Oscar Health list Marie Shin 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 Marie Shin was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.