SANGHEON SHIN CH61383071
NPI 1962113902
Chiropractor in Bellevue, WA
About Sangheon Shin Ch61383071 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANGHEON SHIN CH61383071 (NPI 1962113902) is an individual chiropractor in Bellevue, Washington, licensed in Washington (CH61383071) and active in the NPI registry since December 2022. He maintains a secondary practice location in Federal Way and is a graduate of Life Chiropractic College - West (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sangheon Shin Ch61383071 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.
Medicare Billing Reassignment
Medicare enrollment records show Sangheon Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bellevue, WA 98007
- Reassigned Medicare billing, Washington enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BELLEVUE, WA 98007
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 Sangheon Shin's NPI number?
The NPI number for Sangheon Shin is 1962113902. It was assigned to this individual provider in the NPPES registry on December 12, 2022.
Where is Sangheon Shin located?
Sangheon Shin practices at 14575 NE Bel Red Rd Ste 100, Bellevue, WA 98007. The listed phone number is (425) 641-8052.
What is Sangheon Shin's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Sangheon Shin enrolled in Medicare?
Yes. Sangheon 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.
Which organization bills Medicare for Sangheon Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sangheon Shin reassigns Medicare benefits to Donghwa Prime Wellness Inc (Bellevue, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sangheon Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sangheon Shin accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sangheon 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 Sangheon Shin was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Sangheon Shin, CH61383071 · NPI 1962113902
Chiropractor provider in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since December 12, 2022.
## Identity
- **NPI:** 1962113902 (Entity type: Individual)
- **Enumerated:** December 12, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH61383071 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 14575 NE BEL RED RD STE 100, Bellevue, WA 98007-3908
- **Phone:** (425) 641-8052
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Donghwa Prime Wellness Inc (NPI 1356134001, Bellevue, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College - West, class of 2021
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962113902) · Data from the CMS NPPES public registry.