Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Jaekwang Shim, MD/PHD

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1689017451

Dr. David Jaekwang Shim, MD/PHD is a Cardiac Electrophysiology in Providence, Rhode Island. Graduated from Baylor College of Medicine in 2012, 14 years ago. Practices with The Miriam Hospital, a 185-clinician group and accepts Medicare assignment. Licensed in Oregon and Rhode Island.

Years since qualifying
14
Trained at
Baylor College of Medicine
Licensed in
OR, RI
In the registry since
2013
Specialties on file
3

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5891
Fax: (401) 444-8158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence MD20207 (RI)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence MD208478 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689017451
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice The Miriam Hospital — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Providence