DR. YOON SUP SHIN M.D.
NPI 1629071451
Pediatrics in Los Angeles, CA

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
2017 W OLYMPIC BLVD, LOS ANGELES, CA 90006(213) 480-1000(213) 401-0018 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025, Mar 7, 2023 (3 updates tracked since 2023).

About Dr. Yoon Sup Shin M.d. NPPES

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

DR. YOON SUP SHIN M.D. (NPI 1629071451) is an individual pediatrics provider in Los Angeles, California, licensed in California (A85523) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629071451
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. YOON SUP SHINCredential: M.D.
Location Address2017 W OLYMPIC BLVDLos Angeles, CA 90006-3705
Mailing Address2017 W Olympic BlvdLos Angeles, CA 90006-3705 · (213) 480-1000 · Fax (213) 401-0018
Fax(213) 401-0018
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
✔ NPI 1629071451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A85523
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License A85523 (CA)
2017 W OLYMPIC BLVD, Los Angeles, CA 90006

Other Names 1

Other Name (5)Dr. Yoon Sup James Shin M.d.

Other Identifiers 1

OtherA85523CA · License

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

Dr. Yoon Sup 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 ID6204898745
PECOS Enrollment IDI20041027001276
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.

Areas of Expertise CMS Part B claims 27

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
440 services202 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
308 services174 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
178 services132 patients
Cyanocobalamin (vitamin b-12) level 82607
A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.
147 services116 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
146 services114 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
140 services117 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers69 claims132 services$3.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers43 claims48 services$0.63 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers43 claims43 services$26.51 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers25 claims25 services$18.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2017 W OLYMPIC BLVD
LOS ANGELES, CA 90006
Chiropractor
2017 W OLYMPIC BLVD
LOS ANGELES, CA 90006
Specialist
2017 W OLYMPIC BLVD
LOS ANGELES, CA 90006

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 Yoon Shin's NPI number?

The NPI number for Yoon Shin is 1629071451. It was assigned to this individual provider in the NPPES registry on May 24, 2005. The provider is also known as Dr. Yoon Sup James Shin M.D..

Where is Yoon Shin located?

Yoon Shin practices at 2017 W Olympic Blvd, Los Angeles, CA 90006. The listed phone number is (213) 480-1000.

What is Yoon Shin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Yoon Shin enrolled in Medicare?

Yes. Yoon 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.

When was this NPI record last updated?

The NPPES record for Yoon Shin was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.