YAN SHI M.D.
NPI 1194001503
Surgery - Pediatric Surgery in Cleveland, OH
About Yan Shi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YAN SHI M.D. (NPI 1194001503) is an individual pediatric surgery provider in Cleveland, Ohio, licensed in Ohio (35.140369) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yan Shi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Yan Shi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Tucson, AZ 85711
- Reassigned Medicare billing, Arizona enrollment
- 1,514 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
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 Yan Shi's NPI number?
The NPI number for Yan Shi is 1194001503. It was assigned to this individual provider in the NPPES registry on October 30, 2011.
Where is Yan Shi located?
Yan Shi practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (168) 443-0152.
What is Yan Shi's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Yan Shi enrolled in Medicare?
Yes. Yan Shi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Yan Shi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yan Shi reassigns Medicare benefits to 2 organizations: Texas Children's Physician Group (Houston, TX) and Banner-University Medical Group (Tucson, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yan Shi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yan Shi accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona, CareSource, MedMutual and Moda Health Plan, Inc. and 1 other insurer list Yan Shi 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.
When was this NPI record last updated?
The NPPES record for Yan Shi was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Yan Shi, M.D. · NPI 1194001503
Pediatric Surgery physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since October 30, 2011.
## Identity
- **NPI:** 1194001503 (Entity type: Individual)
- **Enumerated:** October 30, 2011
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 35.140369 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 11100 EUCLID AVE, Cleveland, OH 44106-1716
- **Phone:** (168) 443-0152
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Texas Children's Physician Group (NPI 1861675506, Houston, TX); Banner-University Medical Group (NPI 1932708328, Tucson, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2021
- **Other identifiers:** Other 35.140369 (OH); Other BP10039781 (TX); Other 557792 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1194001503) · Data from the CMS NPPES public registry.