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MR. DOOSUP SHIN M.D.
NPI 1538517909
Internal Medicine - Cardiovascular Disease in Roslyn, NY

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576(516) 562-6000 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 22, 2023, Jul 2, 2019, Jun 18, 2019 and 1 more (4 updates tracked since 2016).

About Mr. Doosup Shin M.d. NPPES

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

MR. DOOSUP SHIN M.D. (NPI 1538517909) is an individual cardiovascular disease provider in Roslyn, New York, licensed in Iowa (R11390) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538517909
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. DOOSUP SHINCredential: M.D.
Location Address100 PORT WASHINGTON BLVDRoslyn, NY 11576-1347
Mailing Address100 Port Washington BlvdRoslyn, NY 11576-1347
Phone(516) 562-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 26, 2016
Last NPPES UpdateJune 22, 20234 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1538517909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IA · R11390
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 PORT WASHINGTON BLVD, Roslyn, NY 11576
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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 and accepts Medicare assignment

Mr. Doosup 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.

PECOS PAC ID6901132331
PECOS Enrollment IDI20240626004460
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11576 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

ERIN MARIE MARKEY R.N.,M.S.,APRN-BC
Nurse Practitioner (Acute Care)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Nassau County (516) 562-6351
DR. MENA YACOUB D.O
Internal Medicine (Clinical Cardiac Electrophysiology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Nassau County (718) 689-0316
JULIA COHEN
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Nassau County (516) 562-6000
PEDIATRIC CARDIOLOGY OF LI PC
Pediatrics (Pediatric Cardiology)
100 PORT WASHINGTON BLVD, SUITE 108
ROSLYN, NY 11576
Nassau County (516) 365-3340
PATRICK BRENNAN P.A.
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Nassau County (516) 338-5358
KENNETH ZIELINSKI P.A.
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Nassau County (516) 338-5358
DR. STEFAN MILTON MUEHLBAUER M.D., PHD
Emergency Medicine
100 PORT WASHINGTON BLVD, DEPT OF EMERGENCY MEDICINE
ROSLYN, NY 11576
Nassau County (165) 626-6055
MRS. MELISSA A MORELLI FNP-C
Nurse Practitioner (Family)
100 PORT WASHINGTON BLVD, ST. FRANCIS HOSPITAL EMERGENCY ROOM
ROSLYN, NY 11576
Nassau County (516) 562-6600

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 Doosup Shin's NPI number?

The NPI number for Doosup Shin is 1538517909. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Doosup Shin located?

Doosup Shin practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 562-6000.

What is Doosup Shin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Doosup Shin enrolled in Medicare?

Yes. Doosup 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.

Is Doosup Shin affiliated with any hospitals?

According to CMS data, Doosup Shin is affiliated with St Francis Hospital - The Heart Center and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Doosup Shin was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.