PAUL J SHIN M.D.,PH.D.
NPI 1710349386
Surgery in Santa Monica, CA

Q: What is Paul Shin's NPI number?

The NPI number for Paul Shin is 1710349386. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Q: What is Paul Shin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Shin was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment

2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 315-6125(310) 582-7163 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2023, Mar 23, 2016 (2 updates tracked since 2016).

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About Paul J Shin M.d.,ph.d. NPPES

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

PAUL J SHIN M.D.,PH.D. (NPI 1710349386) is an individual surgery provider in Santa Monica, California, licensed in California (A191229) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Univ Of Rochester School Of Dental Medicine (2016).

NPPES Registry Identity

NPI1710349386

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NamePAUL J SHINCredential: M.D.,PH.D.

Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303

Mailing Address2121 Santa Monica BlvdSanta Monica, CA 90404-2303 · (310) 315-6125 · Fax (310) 582-7163

Phone(310) 315-6125

Fax(310) 582-7163

Sole ProprietorYes

Medical School CMSUniv Of Rochester School Of Dental MedicineGraduated 2016

Enumeration DateMarch 23, 2016

Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration

NPPES CertifiedOctober 2, 2023

✔ NPI 1710349386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A191229

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2121 SANTA MONICA BLVD, Santa Monica, CA 90404

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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

Paul J Shin M.d.,ph.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 ID2264887173

PECOS Enrollment IDI20231012003313

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

MINA RIM KANG MD

Hospitalist