DR. CHANG B. SHIN (M.D.) – Neurology Physician, NPI 1730207143

DR. CHANG B. SHIN (M.D.) is a healthcare provider. based in Renton, Washington. specializing in NEUROLOGY, GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD00018197 (WA). The NPI Number for DR. CHANG B. SHIN (M.D.) is 1730207143

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHANG B. SHIN (M.D.)
NPI
1730207143
Phone
(425) 228-7446
Address
4300 TALBOT RD S
Enumeration Date
26 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2535355025
Graduation Year
1992 (34 years ago)
PAC ID
5092073015
Professional Enrollment ID
I20220318000587
Address ID
WA980036736FE33919SXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

590 NEUROLOGY in WA

Provider Addresses for DR. CHANG B. SHIN (M.D.)

  • 4300 TALBOT RD S

    SUITE 303

    RENTON, WA 980556238

    Phone: (425) 228-7446

    Fax: (425) 277-4746

    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: 2022-03-18

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
I20220318000587INeurologyWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9319$0
99212Established patient office or other outpatient visit, 10-19 minutes2311$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 98055)

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Reviews

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Frequently asked questions

What federal number belongs to DR. CHANG B. SHIN (M.D.)?
The federal identifier for DR. CHANG B. SHIN (M.D.) is NPI 1730207143.
Does this profile mean DR. CHANG B. SHIN (M.D.) is currently active?
Yes — DR. CHANG B. SHIN (M.D.) appears active in the national provider directory.
Can you summarize DR. CHANG B. SHIN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. CHANG B. SHIN (M.D.) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CHANG B. SHIN (M.D.)'s primary listing?
We display Renton, Washington because that is what the record indicates for DR. CHANG B. SHIN (M.D.).
Is DR. CHANG B. SHIN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1730207143. Always confirm identity and privileges with the practice and licensing boards.

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