TAEK SOO SHIN (M.D.) – Internal Medicine Physician, NPI 1417169376
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for TAEK SOO SHIN (M.D.)
2601 LITTLE ELM PKWY STE 2501
LITTLE ELM, TX 750686706
Phone: (972) 972-4234
Fax: (972) 777-1090
Type: Mailing
2200, West Higgins Road, Hoffman Estates, Schaumburg Township, Cook County, Illinois, 60169, United States
SUITE 140
HOFFMAN ESTATES, IL 601692428
Phone: (847) 781-3100
Fax: (847) 781-5156
Type: Mailing
2601 LITTLE ELM PKWY STE 1404
LITTLE ELM, TX 750681922
Phone: (972) 972-4234
Fax: (972) 777-1090
Type: Mailing
8951 MCCUTCHINS DR APT 4301
MCKINNEY, TX 750701824
Phone: (773) 715-4628
Type: Mailing
4541 N JOSEY LN STE 110
CARROLLTON, TX 750104622
Phone: (469) 788-8588
Fax: (469) 788-7800
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: 2021-11-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211105002547 | I | Internal Medicine | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 17 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 20 | 17 | $0 |
Insurance plans in this area (ZIP 75068)
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