SAMUEL SHIN MD, PHD
NPI 1609510866
Psychiatry & Neurology - Psychiatry in North Olmsted, OH

Q: What is Samuel Shin's NPI number?

The NPI number for Samuel Shin is 1609510866. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Q: What is Samuel Shin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Shin was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 April 25, 2022PECOS Enrolled

24700 LORAIN RD, NORTH OLMSTED, OH 44070(216) 444-2200 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Oct 26, 2023, May 11, 2022 and 1 more (4 updates tracked since 2022).

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About Samuel Shin Md, Phd NPPES

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

SAMUEL SHIN MD, PHD (NPI 1609510866) is an individual psychiatry provider in North Olmsted, Ohio, licensed in Ohio (35.150427) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609510866

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSAMUEL SHINCredential: MD, PHD

Location Address24700 LORAIN RDNorth Olmsted, OH 44070-2088

Mailing Address24700 Lorain RdNorth Olmsted, OH 44070-2088

Phone(216) 444-2200

Sole ProprietorNo

Enumeration DateApril 25, 2022

Last NPPES UpdateMay 13, 20264 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1609510866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in OH · 35.150427

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

24700 LORAIN RD, North Olmsted, OH 44070

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Shin Md, Phd 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 Reassignment

Medicare enrollment records show Samuel Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation

7.0 mi

Family Medicine

36040 DETROIT RD, STE A
Avon, OH 44011

Reassigned Medicare billing, Ohio enrollment
7,608 clinicians in this Medicare group

NPI 1184428336 (886) 636-3318

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 44070 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

ZELALEM WODAJO KEBEDE M.D.

Pediatrics

24700 LORAIN RD
NORTH OLMSTED, OH 44070

Cuyahoga County (440) 716-9810

LAKEWOOD HOSPITAL PROFESSIONAL SERVICES

Internal Medicine

24700 LORAIN RD, SUITE 120
NORTH OLMSTED, OH 44070

Cuyahoga County (440) 734-3494

JOHN S FERNBACH MD

Obstetrics & Gynecology

24700 LORAIN RD, SUITE 304
NORTH OLMSTED, OH 44070

Cuyahoga County (440) 777-5505

ASHRAF H EL DABH MD

Obstetrics & Gynecology

24700 LORAIN RD, SUITE 304
NORTH OLMSTED, OH 44070

Cuyahoga County (440) 777-6700

WEST SIDE INTERNAL MEDICINE INC

Physician Assistant

24700 LORAIN RD, SUITE 207
NORTH OLMSTED, OH 44070

Cuyahoga County (440) 779-5505

ALEXANDER J RIGDA LPCC-LICDC

Counselor (Professional)

24700 LORAIN RD
NORTH OLMSTED, OH 44070

Cuyahoga County (440) 779-5505

DR. ISABELITA E GUADIZ MD

Pediatrics

24700 LORAIN RD, SUITE 104
NORTH OLMSTED, OH 44070

Cuyahoga County (440) 716-1283

RACHAEL FERRARI MD

Psychiatry & Neurology (Psychiatry)

24700 LORAIN RD
NORTH OLMSTED, OH 44070

Cuyahoga County (440) 835-1445

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 1609510866. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Samuel Shin located?

Samuel Shin practices at 24700 Lorain Rd, North Olmsted, OH 44070. The listed phone number is (216) 444-2200.

What is Samuel Shin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Shin enrolled in Medicare?

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

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 The Cleveland Clinic Foundation (Avon, OH). 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.

What insurance does Samuel Shin accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Samuel Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Shin was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.