Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JISUNG PHILLIP SHIN MD
NPI 1376246132
Hospitalist in Stony Brook, NY

Q: What is Jisung Shin's NPI number?

The NPI number for Jisung Shin is 1376246132. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Jisung Shin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jisung Shin was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 March 22, 2023PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 638-2698 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jisung Phillip Shin Md NPPES

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

JISUNG PHILLIP SHIN MD (NPI 1376246132) is an individual hospitalist provider in Stony Brook, New York, licensed in New York (344068) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376246132

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameJISUNG PHILLIP SHINCredential: MD

Location Address101 NICOLLS RDStony Brook, NY 11794-8434

Mailing Address101 Nicolls RdStony Brook, NY 11794-8434

Phone(631) 638-2698

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 22, 2023

Last NPPES UpdateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1376246132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NY · 344068

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 NICOLLS RD, Stony Brook, NY 11794

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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 (PECOS)

Jisung Phillip Shin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769943752

PECOS Enrollment IDI20260909003656

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 11794 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

NARINDER SINGH M.D.

Internal Medicine