Heeseop Shin, MD - Medicare Diagnostic Radiology in Los Angeles, CA

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Heeseop Shin, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Imaging Associates Of Indiana Pc, Golden State Imaging Associates Inc, Pikeville Medical Center Inc, Mori Bean And Brooks Inc, Multicare Health System and his current practice location is 1500 San Pablo St Fl 2, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-8541.

Heeseop Shin is licensed to practice in California (license number A148948) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780970681.

Contact Information

Heeseop Shin, MD
1500 San Pablo St Fl 2,
Los Angeles, CA 90033-5313
(323) 442-8541
(323) 442-8755

Map and Direction




Physician's Profile

Full NameHeeseop Shin
GenderMale
SpecialityDiagnostic Radiology
Experience13 Years
Location1500 San Pablo St Fl 2, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Heeseop Shin graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1780970681
  • Provider Enumeration Date: 06/20/2011
  • Last Update Date: 09/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759689615
  • Enrollment ID: I20210526000954

Medical Identifiers

Medical identifiers for Heeseop Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780970681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME162827 (Florida)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology A148948 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent HospitalIndianapolis, INHospital
Ascension St Vincent KokomoKokomo, INHospital
Ascension St Vincent CarmelCarmel, INHospital
Capital Medical CenterOlympia, WAHospital
Ascension St Vincent FishersFishers, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Imaging Associates Of Indiana Pc1254503345179
Golden State Imaging Associates Inc1254761315223
Pikeville Medical Center Inc6709790157333
Mori Bean And Brooks Inc8820077878647
Multicare Health System77198998971689

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Heeseop Shin allows following entities to bill medicare on his behalf.
Entity NameHouston Radiology Associated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740228097
PECOS PAC ID: 8022092451
Enrollment ID: O20040615000259
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20161122000313
Entity NameImaging Associates Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699072611
PECOS PAC ID: 1254503345
Enrollment ID: O20171020001613
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20190717002243
Entity NameLouisville Radiology Imaging Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639115447
PECOS PAC ID: 2264436120
Enrollment ID: O20200312001660
Entity NameEmpire State Radiology P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255962783
PECOS PAC ID: 4385075241
Enrollment ID: O20200512002988
Entity NameGolden State Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144872052
PECOS PAC ID: 1254761315
Enrollment ID: O20200528003465
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20200831003401
Entity NamePikeville Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811774656
PECOS PAC ID: 6709790157
Enrollment ID: O20231010002023
Entity NameMurfreesboro Radiology & Nuclear Medicine Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316043524
PECOS PAC ID: 7719964063
Enrollment ID: O20231013000683

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heeseop Shin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heeseop Shin, MD
Po Box 31309,
Los Angeles, CA 90031-0309

Ph: (323) 442-8541		Heeseop Shin, MD
1500 San Pablo St Fl 2,
Los Angeles, CA 90033-5313

Ph: (323) 442-8541

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.