JOONG SHIN (M.D.) – Internal Medicine Physician, NPI 1053347054

JOONG SHIN (M.D.) is a healthcare provider. based in Fairlawn, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35067515S (OH). The NPI Number for JOONG SHIN (M.D.) is 1053347054

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
JOONG SHIN (M.D.)
NPI
1053347054
Phone
(330) 576-0500
Address
822 KUMHO DR
Enumeration Date
23 June 2006
Last Update Date
7 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306701005
Graduation Year
1993 (33 years ago)
PAC ID
3779480330
Group Practice PAC ID
0446480966
Professional Enrollment ID
I20111104000618
Address ID
OH443338358FA3557XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for JOONG SHIN (M.D.)

  • Kumho Drive, Fairlawn, Summit County, Ohio, 44321, United States

    SUITE 202

    FAIRLAWN, OH 443339297

    Phone: (330) 576-0500

    Fax: (330) 576-0467

    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)

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: 2011-11-04

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
I20111104000618IInternal MedicineOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes664388$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes323319$0
99214Established patient office or other outpatient visit, 30-39 minutes312238$0
99204New patient office or other outpatient visit, 45-59 minutes232232$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8039$0
View full utilization report →

Insurance plans in this area (ZIP 44333)

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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: 0446480966View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Internal MedicineOH
Nurse PractitionerOH
Internal MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to JOONG SHIN (M.D.)?
NPI 1053347054 is assigned to JOONG SHIN (M.D.) under the national enumeration system.
Is JOONG SHIN (M.D.)'s NPI currently valid?
The extract we use shows JOONG SHIN (M.D.) as active.
Does JOONG SHIN (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for JOONG SHIN (M.D.). Clinical services aligned with this taxonomy classification.
Where is JOONG SHIN (M.D.)'s primary listing?
We display Fairlawn, Ohio because that is what the record indicates for JOONG SHIN (M.D.).
What if Fairlawn, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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