DR. SHINE JOHN DPM NPI 1245407295

NPI Information

  • NPI: 1245407295
  • Provider Name: DR. SHINE JOHN, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11614 FM 2244 RD STE 150
    AUSTIN, TX
    ZIP 78738
  • Phone: (512) 399-5711

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NPI Details

DR. Shine John, DPM is a foot and ankle surgery podiatrist in Austin, TX with 21 years of experience. DR. Shine John, DPM NPI is 1245407295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2005

The provider's business location address is:

11614 FM 2244 RD STE 150
AUSTIN, TX
ZIP 78738-471
Phone: (512) 399-5711
Fax: (512) 399-5707

The NPI 1245407295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Injection into tendon or ligament (HCPCS:20550)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 5/9/2008 and was last updated on 8/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016005365ILLINOISNo
2213E00000XPodiatrist1910TEXASNo
3213ES0103XPodiatristFoot & Ankle Surgery1910TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1016005365OTHERILLINOISIL STATE LICENSE
21910OTHERTEXASSTATE OF TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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