JOON SOO SHIN MD
NPI 1750812400
Radiology - Diagnostic Radiology in Stanford, CA

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, Sep 15, 2017, Mar 24, 2017 (3 updates tracked since 2017).

About Joon Soo Shin Md NPPES

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

JOON SOO SHIN MD (NPI 1750812400) is an individual diagnostic radiology provider in Stanford, California, licensed in California (A186398) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Park Ridge, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2017).

NPPES Registry Identity

NPI1750812400
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOON SOO SHINCredential: MD
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2017
Enumeration DateMarch 24, 2017
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1750812400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A186398
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.071122 (IL)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License A186398 (CA)
300 PASTEUR DR, Stanford, CA 94305

Secondary Practice Location 1

Location 11775 Ballard RdPark Ridge, IL 60068-1005 · Phone (847) 318-9340

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

Joon Soo Shin 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 ID7517237621
PECOS Enrollment IDI20240507002751
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 94305 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

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 Joon Soo Shin's NPI number?

The NPI number for Joon Soo Shin is 1750812400. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Joon Soo Shin located?

Joon Soo Shin practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Joon Soo Shin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Joon Soo Shin enrolled in Medicare?

Yes. Joon Soo 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.

What insurance does Joon Soo Shin accept?

Health plans from Blue Cross and Blue Shield of Texas list Joon Soo 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 Joon Soo Shin was last updated on July 8, 2024. 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.