1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Pediatrics
  6. NPI Profile

EMILIA SHIN M.D.
NPI 1588915201
Pediatrics - Pediatric Gastroenterology in Brooklyn, NY

Active since September 20, 2012PECOS Enrolled
450 CLARKSON AVE # 49, BROOKLYN, NY 11203(718) 270-2978 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2021, Jul 3, 2018 (2 updates tracked since 2018).

About Emilia Shin M.d. NPPES

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

EMILIA SHIN M.D. (NPI 1588915201) is an individual pediatric gastroenterology provider in Brooklyn, New York, licensed in Micronesia (269430) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588915201
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameEMILIA SHINCredential: M.D.
Location Address450 CLARKSON AVE # 49Brooklyn, NY 11203-2012
Mailing Address800 Washington StBoston, MA 02111-1552 · (617) 636-5000 · Fax (617) 636-8391
Phone(718) 270-2978
Sole ProprietorNo
Enumeration DateSeptember 20, 2012
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
✔ NPI 1588915201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in FM · 269430
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
450 CLARKSON AVE # 49, Brooklyn, NY 11203
Open in Google Maps ↗

Other Identifiers 2

Medicaid110121271AMA
OtherS400365865MA · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emilia Shin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Emilia Shin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pratt Pediatric Associates Inc
190 mi
Pediatrics
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 202 clinicians in this Medicare group
NPI 1477590511 (617) 636-5000
Permanente Medical Group Inc
2,513 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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.

MS. PAULA OGRODNIK MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 49
BROOKLYN, NY 11203
Kings County (718) 270-2078
LEKSHMI PERINGASSERY SATEESH MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 49
BROOKLYN, NY 11203
Kings County (718) 270-3274
DR. MARINA MITROU MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 49
BROOKLYN, NY 11203
Kings County (718) 270-2078
DR. FATEN SAID HASSAN BUDAJAJA
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 49
BROOKLYN, NY 11203
Kings County (718) 270-1964
DR. DENISE NICOLE DE LEON VILLANUEVA MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 49
BROOKLYN, NY 11203
Kings County (718) 270-2078
DR. JUSTINA AMA QUAINOO-ACQUAH MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 49
BROOKLYN, NY 11203
Kings County (718) 270-2078
KARIN JOHANNA PLAZA LAZO MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 49
BROOKLYN, NY 11203
Kings County (718) 270-1625
OLIWIA OPACKA
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 49
BROOKLYN, NY 11203
Kings County (718) 270-2078

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 Emilia Shin's NPI number?

The NPI number for Emilia Shin is 1588915201. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Emilia Shin located?

Emilia Shin practices at 450 Clarkson Ave # 49, Brooklyn, NY 11203. The listed phone number is (718) 270-2978.

What is Emilia Shin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Emilia Shin enrolled in Medicare?

Yes. Emilia Shin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emilia Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emilia Shin reassigns Medicare benefits to 2 organizations: Pratt Pediatric Associates Inc (Boston, MA) and Permanente Medical Group Inc (Stockton, CA). 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 Emilia 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 Emilia Shin was last updated on December 20, 2021. 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.