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DR. SOOK-JA SHIN M.D.
NPI 1881641892
Anesthesiology in San Bernardino, CA

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411(909) 887-6333(909) 806-1017 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sook-ja Shin M.d. NPPES

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

DR. SOOK-JA SHIN M.D. (NPI 1881641892) is an individual anesthesiology provider in San Bernardino, California, licensed in California (A37091) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1881641892
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. SOOK-JA SHINCredential: M.D.
Location Address1805 MEDICAL CENTER DRSan Bernardino, CA 92411-1217
Mailing Address1510 El Nita LnHemet, CA 92544-4603 · (951) 929-6260 · Fax (951) 765-2855
Phone(909) 887-6333
Fax(909) 806-1017
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateMay 27, 2006
Last NPPES UpdateApril 9, 2014
✔ NPI 1881641892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A37091
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1805 MEDICAL CENTER DR, San Bernardino, CA 92411
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Other Identifiers 5

Medicaid00A370910CA
Medicare PINA37091ACA
Medicare PINWA37091ACA
Medicare PINBH039ZCA
Medicare UPINB18505CA

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. Sook-ja 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 ID6204877657
PECOS Enrollment IDI20050517000296
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 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.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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.

MS. TANISHA G WILLIAMS PA
Physician Assistant
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6333
COMMUNITY HOSPITAL OF SAN BERNARDINO
Home Health
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6391
EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Emergency Medicine
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
San Bernardino County (330) 493-4443
AMANJUNG SINGH
Internal Medicine
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6333
SOUTHLAND ANESTHESIA CONSULTANTS INC
Anesthesiology
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6333
MR. ANDREW SCHWARTZ RN
Registered Nurse (Emergency)
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6333
RICARDO WHYTE M.D.
Psychiatry & Neurology (Psychiatry)
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6333
JILLIAN ALLARD PA-C
Physician Assistant
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
San Bernardino County (909) 806-1598

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 Sook-ja Shin's NPI number?

The NPI number for Sook-ja Shin is 1881641892. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Sook-ja Shin located?

Sook-ja Shin practices at 1805 Medical Center Dr, San Bernardino, CA 92411. The listed phone number is (909) 887-6333.

What is Sook-ja Shin's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Sook-ja Shin enrolled in Medicare?

Yes. Sook-ja 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 Sook-ja Shin was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.