SAMUEL S SHIN M.D., PH.D.
NPI 1336586023
Psychiatry & Neurology - Neurology in Philadelphia, PA
About Samuel S Shin M.d., Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL S SHIN M.D., PH.D. (NPI 1336586023) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD470161) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Samuel S Shin M.d., Ph.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 Reassignment
Medicare enrollment records show Samuel Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Samuel Shin's NPI number?
The NPI number for Samuel Shin is 1336586023. It was assigned to this individual provider in the NPPES registry on June 4, 2013.
Where is Samuel Shin located?
Samuel Shin practices at 3400 Spruce St 11 Rhoads, Philadelphia, PA 19104. The listed phone number is (215) 662-2700.
What is Samuel Shin's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Samuel Shin enrolled in Medicare?
Yes. Samuel 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 organization bills Medicare for Samuel Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Shin reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Samuel Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Shin affiliated with any hospitals?
According to CMS data, Samuel Shin is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Samuel Shin was last updated on July 5, 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.
# Samuel S Shin, M.D., PH.D. · NPI 1336586023
Neurology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 4, 2013.
## Identity
- **NPI:** 1336586023 (Entity type: Individual)
- **Enumerated:** June 4, 2013
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD470161 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, 11 RHOADS, Philadelphia, PA 19104-4328
- **Phone:** (215) 662-2700
## 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:** University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pittsburgh School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** July 5, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1336586023) · Data from the CMS NPPES public registry.