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DR. PATRICK WONIL SHIN MD
NPI 1932738291
Student in an Organized Health Care Education/Training Program in Round Rock, TX

Active since April 07, 2020PECOS Enrolled
425 UNIVERSITY BLVD STE 345, ROUND ROCK, TX 78665(512) 509-0200 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Patrick Wonil Shin Md NPPES

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

DR. PATRICK WONIL SHIN MD (NPI 1932738291) is an individual student in an organized health care education/training program in Round Rock, Texas and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932738291
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PATRICK WONIL SHINCredential: MD
Location Address425 UNIVERSITY BLVD STE 345Round Rock, TX 78665-1058
Mailing Address425 University Blvd Ste 345Round Rock, TX 78665-1058
Phone(512) 509-0200
Sole ProprietorNo
Enumeration DateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1932738291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

425 UNIVERSITY BLVD STE 345, Round Rock, TX 78665
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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 (PECOS)

Dr. Patrick Wonil Shin Md 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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$15.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$63.93 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 4

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

DEVINA JAGOTA
Student in an Organized Health Care Education/Training Program
425 UNIVERSITY BLVD STE 345
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
DR. KEERTHANA REDDY PAKANATI MD
Student in an Organized Health Care Education/Training Program
425 UNIVERSITY BLVD STE 345
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
SUJITH RAO PUSKOOR DO
Student in an Organized Health Care Education/Training Program
425 UNIVERSITY BLVD STE 345
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
MR. MATTHEW RYAN MCGLENNON
Internal Medicine (Pulmonary Disease)
425 UNIVERSITY BLVD STE 345
ROUND ROCK, TX 78665
Williamson County (512) 509-0200

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 Patrick Shin's NPI number?

The NPI number for Patrick Shin is 1932738291. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Patrick Shin located?

Patrick Shin practices at 425 University Blvd Ste 345, Round Rock, TX 78665. The listed phone number is (512) 509-0200.

What is Patrick Shin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Patrick Shin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Patrick Shin was last updated on April 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.