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

Dr. Shine John, DPM

Individual provider Podiatrist · NPI 1245407295

Dr. Shine John, DPM is a Podiatry in Austin, Texas. Graduated from New York College of Podiatric Medicine in 2005, 21 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
21
Trained at
New York College of Podiatric Medicine
Licensed in
IL, TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11614 Fm 2244 Rd Ste 150
Austin, TX 78738-5471
Phone: (512) 399-5711
Fax: (512) 399-5707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 1910 (TX)
Podiatrist Taxonomy 213E00000X · Licence 016005365 (IL)
Podiatrist Taxonomy 213E00000X · Licence 1910 (TX)

Record details

NPI number1245407295
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 9, 2008
Last updated in NPPESAugust 16, 2022
Certification dateSeptember 15, 2021
Mailing address11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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