SHAUN K JOSHI MD
NPI 1073629150
Internal Medicine - Nephrology in Hayden, ID

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
1986 W HAYDEN AVE, HAYDEN, ID 83835(208) 762-7760(208) 762-7740 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shaun K Joshi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUN K JOSHI MD (NPI 1073629150) is an individual nephrology provider in Hayden, Idaho, licensed in Idaho (M-8219) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1073629150
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSHAUN K JOSHICredential: MD
Location Address1986 W HAYDEN AVEHayden, ID 83835-7412
Mailing Address1986 W Hayden AveHayden, ID 83835-7412 · (208) 762-7760 · Fax (208) 762-7740
Fax(208) 762-7740
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 22, 2006
Last NPPES UpdateJune 16, 2021
NPPES CertifiedJune 16, 2021
NPI 1073629150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in ID · M-8219 Licensed in WA · MD00037068
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1986 W HAYDEN AVE, Hayden, ID 83835

Other Identifiers 6

Medicaid7144785WA
Medicaid8080036ID
Medicaid8239220WA
Medicaid8058994ID
Other11003291Medicare Ptan
Other1370136Medicare Group Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shaun K Joshi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224054416
PECOS Enrollment IDI20051017001161, I20080829000289
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,892 services838 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,096 services299 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
587 services72 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
243 services191 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
225 services158 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
127 services122 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Benewah Community Hospital

Critical Access Hospitals · St Maries, ID
OwnershipGovernment - Local
CMS Certification Number131317
Location229 South 7th StreetSt Maries, ID 83861 · Benewah County
Emergency services

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers25 claims61 services$6.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$91.92 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers14 claims975 services$0.36 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims2,730 services$0.01 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$180.75 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers32 claims36 services$11.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1986 W HAYDEN AVE
HAYDEN, ID 83835
Family Medicine
1986 W HAYDEN AVE
HAYDEN, ID 83835
Physician Assistant
1986 W HAYDEN AVE
HAYDEN, ID 83835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaun Joshi's NPI number?

The NPI number for Shaun Joshi is 1073629150. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Shaun Joshi located?

Shaun Joshi practices at 1986 W Hayden Ave, Hayden, ID 83835. The listed phone number is (208) 762-7760.

What is Shaun Joshi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shaun Joshi enrolled in Medicare?

Yes. Shaun Joshi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shaun Joshi accept?

Health plans from PacificSource Health Plans list Shaun Joshi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shaun Joshi affiliated with any hospitals?

According to CMS data, Shaun Joshi is affiliated with Kootenai Health, Northwest Specialty Hospital, Benewah Community Hospital, Gritman Medical Center and Bonner General Hospital.

When was this NPI record last updated?

The NPPES record for Shaun Joshi was last updated on June 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.