STEPHANIE SHIN (MD) – Pulmonary Disease Physician, NPI 1023317286

STEPHANIE SHIN (MD) is a healthcare provider. based in San diego, California. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 130231 (CA). The NPI Number for STEPHANIE SHIN (MD) is 1023317286

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE SHIN (MD)
NPI
1023317286
Phone
(619) 786-4128
Address
5965 VILLAGE WAY
Enumeration Date
26 March 2011
Last Update Date
29 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7609438806
Graduation Year
2011 (15 years ago)
PAC ID
9335369800
Group Practice PAC ID
8628027547
Professional Enrollment ID
I20160705000615
Address ID
CA920245142EN354XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for STEPHANIE SHIN (MD)

  • 5965 VILLAGE WAY

    SUITE E105, UNIT 244

    SAN DIEGO, CA 92130

    Phone: (619) 786-4128

    Type: Mailing

  • 9300 Campus Point Drive, Mail Code # 7381

    UCSD Department of Medicine (Pulmonary Critical Care)

    La Jolla, CA 920377381

    Phone: (858) 657-7118

    Fax: (858) 657-7107

    Type: Location

  • 7901 Frost St

    San Diego, CA 921232701

    Phone: (858) 939-3400

    Type: Location

  • 320 SANTA FE DR STE 107-C

    ENCINITAS, CA 920245138

    Phone: (760) 230-8994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160705000615IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes229139$0
99291Critical care, first 30-74 minutes19799$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes116113$0
View full utilization report →

Insurance plans in this area (ZIP 92130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628027547View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOH
Internal MedicineCA
Internal MedicineCA
Critical Care (Intensivists)NY
Pulmonary Disease, Critical Care (Intensivists)CA
Physician AssistantCA
Pulmonary Disease, Critical Care (Intensivists)CA
Pulmonary DiseaseCO
Physician AssistantCA
Physician AssistantCA

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Frequently asked questions

Is STEPHANIE SHIN (MD) listed with a National Provider Identifier?
Yes — STEPHANIE SHIN (MD) has NPI 1023317286 on file in the registry.
Would STEPHANIE SHIN (MD) appear as active to a payer?
You can treat STEPHANIE SHIN (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with STEPHANIE SHIN (MD)?
STEPHANIE SHIN (MD)'s record emphasizes Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is STEPHANIE SHIN (MD) located near San Diego?
STEPHANIE SHIN (MD) currently maps to San Diego, California in this extract.
Can I trust this NPI listing for STEPHANIE SHIN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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