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

Heeseop Shin, MD

Individual provider Diagnostic Radiology Physician · NPI 1780970681

Heeseop Shin, MD practises Diagnostic Radiology in Los Angeles, California. Graduated from University of Connecticut School of Medicine in 2011, 15 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group and works from 3 locations. Licensed in California, Florida and Illinois.

Years since qualifying
15
Trained at
University of Connecticut School of Medicine
Licensed in
CA, FL, IL
In the registry since
2011
Specialties on file
4
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

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone: (323) 442-8541
Fax: (323) 442-8755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 119 Oakfield Dr, Brandon, FL 33511-5779 — (904) 399-5800
  • 55 Fruit St, Boston, MA 02114-2621 — (617) 643-3726

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A148948 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036151376 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME162827 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780970681
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2011
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Not indicated
Practice locations22 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,469
Services billed 2,093 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Good Samaritan Regional Health Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 155 clinicians in the practice; 12 are shown here.

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