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MR. SUNG RYAN SHIN PA-C, DHSC
NPI 1912220112
Physician Assistant in Mc Lean, VA

Active since March 02, 2010PECOS Enrolled
6858 OLD DOMINION DR STE 102, MC LEAN, VA 22101(703) 847-9800 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Sep 29, 2018 (2 updates tracked since 2018).

About Mr. Sung Ryan Shin Pa-c, Dhsc NPPES

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

MR. SUNG RYAN SHIN PA-C, DHSC (NPI 1912220112) is an individual physician assistant in Mc Lean, Virginia, licensed in Virginia (0110003258) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1912220112
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SUNG RYAN SHINCredential: PA-C, DHSC
Location Address6858 OLD DOMINION DR STE 102Mc Lean, VA 22101-3832
Mailing Address3833 Farr Oak CirFairfax, VA 22030-2438 · (571) 235-2828
Phone(703) 847-9800
Sole ProprietorNo
Enumeration DateMarch 2, 2010
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1912220112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110003258
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6858 OLD DOMINION DR STE 102, Mc Lean, VA 22101
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Secondary Practice Location 1

Location 15249 Duke St Ste 100Alexandria, VA 22304-2907 · Phone (703) 658-2650

Other Identifiers 1

Medicaid0083533OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sung Ryan Shin Pa-c, Dhsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22101 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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

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

MISS SHALINI JAIN PA-C
Physician Assistant
6858 OLD DOMINION DR STE 102
MC LEAN, VA 22101
Fairfax County (703) 356-7070

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 Sung Shin's NPI number?

The NPI number for Sung Shin is 1912220112. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Sung Shin located?

Sung Shin practices at 6858 Old Dominion Dr Ste 102, Mc Lean, VA 22101. The listed phone number is (703) 847-9800.

What is Sung Shin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sung Shin enrolled in Medicare?

Yes. Sung Shin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sung Shin was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.