ETHAN SHIM MD
NPI 1750512158
Internal Medicine in Phoenix, AZ

Active since August 03, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9225 N 3RD ST, SUITE 304, PHOENIX, AZ 85020(602) 445-0751(602) 424-8128 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan Shim Md NPPES

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

ETHAN SHIM MD (NPI 1750512158) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (47765) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750512158
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameETHAN SHIMCredential: MD
Location Address9225 N 3RD ST, SUITE 304Phoenix, AZ 85020
Mailing Address9225 N 3rd St, Suite 304Phoenix, AZ 85020 · (602) 445-0751 · Fax (602) 424-8128
Fax(602) 424-8128
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 3, 2009
Last NPPES UpdateSeptember 5, 2014
NPI 1750512158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 47765
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9225 N 3RD ST, Phoenix, AZ 85020

Other Identifiers 2

Medicare UPINZ159822AZ
Medicaid822711AZ

Accepted Insurance

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

Ethan Shim Md 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 ID7911148978
PECOS Enrollment IDI20130802000489
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 13

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.

Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
229 services219 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
227 services43 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
183 services82 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
165 services71 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
143 services139 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
73 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85020 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$4.95 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$29.96 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 20

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

Internal Medicine
9225 N 3RD ST, STE 304
PHOENIX, AZ 85020
Internal Medicine
9225 N 3RD ST, STE 304
PHOENIX, AZ 85020
Neurological Surgery
9225 N 3RD ST, SUITE 100
PHOENIX, AZ 85020
Physical Therapist
9225 N 3RD ST
PHOENIX, AZ 85020
Orthopaedic Surgery
9225 N 3RD ST, SUITE 302
PHOENIX, AZ 85020
Specialist
9225 N 3RD ST, SUITE 203
PHOENIX, AZ 85020
Orthopaedic Surgery (Hand Surgery)
9225 N 3RD ST, SUITE 101
PHOENIX, AZ 85020
Dentist (General Practice)
9225 N 3RD ST, #102
PHOENIX, AZ 85020

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 Ethan Shim's NPI number?

The NPI number for Ethan Shim is 1750512158. It was assigned to this individual provider in the NPPES registry on August 3, 2009.

Where is Ethan Shim located?

Ethan Shim practices at 9225 N 3rd St Suite 304, Phoenix, AZ 85020. The listed phone number is (602) 445-0751.

What is Ethan Shim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ethan Shim enrolled in Medicare?

Yes. Ethan Shim 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.

What insurance does Ethan Shim accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Ethan Shim 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 Ethan Shim was last updated on September 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.