JAE Y SHIN (MD) – Internal Medicine Physician, NPI 1619064326
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,378 INTERNAL MEDICINE in FL
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Provider Addresses for JAE Y SHIN (MD)
3030, North Rocky Point Drive West, Tampa, Hillsborough County, Florida, 33607, United States
SUITE 670
TAMPA, FL 336075906
Phone: (813) 289-6597
Fax: (813) 289-6592
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $1,922.
Total Amount is formed as General ($1,922) + Research ($0) + Ownership ($0) = $1,922.
Last reported payment date: 2023-12-15 • Largest payer in this snapshot: Medtronic, Inc. ($1,834).
Total Amount
$1,922
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,922
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,834 |
| Abbott Laboratories | $88 |
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: 2005-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050920001062 | I | Internal Medicine | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 563 | 166 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 445 | 145 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 200 | 175 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 105 | 87 | $0 |
Insurance plans in this area (ZIP 33607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Family Practice, Osteopathic Manipulative Medicine | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| - | CO | |
| - | FL |
Reviews
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