CHANG SUNG SHIN DO
NPI 1568922649
Family Medicine in Van Nuys, CA
About Chang Sung Shin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANG SUNG SHIN DO (NPI 1568922649) is an individual family medicine provider in Van Nuys, California, licensed in California (19680) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Chang Sung Shin Do 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 Reassignments
8Medicare enrollment records show Chang Sung Shin reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sherman Oaks, CA 91403
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
Los Angeles, CA 90077
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
West Hills, CA 91307
- Reassigned Medicare billing, California enrollment
- 94 clinicians in this Medicare group
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Lakewood, CA 90712
- Reassigned Medicare billing, California enrollment
- 30 clinicians in this Medicare group
Montclair, CA 91763
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
Merced, CA 95340
- Reassigned Medicare billing, California enrollment
- 126 clinicians in this Medicare group
Sonoma, CA 95476
- Reassigned Medicare billing, California enrollment
- 20 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91405 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.
VAN NUYS, CA 91405
VAN NUYS, CA 91405
VAN NUYS, CA 91405
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 Chang Sung Shin's NPI number?
The NPI number for Chang Sung Shin is 1568922649. It was assigned to this individual provider in the NPPES registry on March 23, 2019.
Where is Chang Sung Shin located?
Chang Sung Shin practices at 15107 Vanowen St, Van Nuys, CA 91405. The listed phone number is (818) 325-0200.
What is Chang Sung Shin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Chang Sung Shin enrolled in Medicare?
Yes. Chang Sung 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 Chang Sung Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chang Sung Shin reassigns Medicare benefits to 8 organizations: San Fernando Valley Medical Group Inc (Sherman Oaks, CA), Gap Post-Acute Care Services (Los Angeles, CA), Hospital Medicine Of California Inc (West Hills, CA), Ca Hospital Hospitalist Medical Group Inc (Los Angeles, CA), Lakewood Hospitalist Medical Group, Inc (Lakewood, CA) and 3 more organizations, listed in the Medicare section above. 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 Chang Sung Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chang Sung Shin was last updated on June 23, 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.
# Chang Sung Shin, DO · NPI 1568922649
Family Medicine physician in Van Nuys, California. Individual provider, active in the CMS NPPES registry since March 23, 2019.
## Identity
- **NPI:** 1568922649 (Entity type: Individual)
- **Enumerated:** March 23, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 19680 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15107 VANOWEN ST, Van Nuys, CA 91405-4542
- **Phone:** (818) 325-0200
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): San Fernando Valley Medical Group Inc (NPI 1902188022, Sherman Oaks, CA); Gap Post-Acute Care Services (NPI 1194538264, Los Angeles, CA); Hospital Medicine Of California Inc (NPI 1770037236, West Hills, CA); Ca Hospital Hospitalist Medical Group Inc (NPI 1114483146, Los Angeles, CA); Lakewood Hospitalist Medical Group, Inc (NPI 1447003983, Lakewood, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1568922649) · Data from the CMS NPPES public registry.