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

Mr. Doosup Shin, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538517909

Mr. Doosup Shin, MD is an Interventional Cardiology in Roslyn, New York. Qualified in 2011, 15 years ago. Practices with Chs Physician Partners PC, a 747-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
15
Licensed in
IA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone: (516) 562-6000
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence R11390 (IA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538517909
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2016
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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