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YAN SHI M.D.
NPI 1194001503
Surgery - Pediatric Surgery in Cleveland, OH

Active since October 30, 2011PECOS Enrolled
11100 EUCLID AVE, CLEVELAND, OH 44106(168) 443-0152 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 21, 2021, Aug 12, 2020 (2 updates tracked since 2020).

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

NPI1194001503
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameYAN SHICredential: M.D.
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address1 Baylor Plz, Suite 404dHouston, TX 77030-3411
Phone(168) 443-0152
Sole ProprietorNo
Enumeration DateOctober 30, 2011
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1194001503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in OH · 35.140369
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
11100 EUCLID AVE, Cleveland, OH 44106
Open in Google Maps ↗

Other Identifiers 3

Other35.140369OH · Ohio Medical Board
OtherBP10039781TX · Texas Medical Board Physician In Training Permit
Other557792TX · Texas Medical Board Physician In Training

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yan Shi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. YU HYON KIM MD
Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3601
JENNIFER LYNN PARRY RN, CPNP
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5691
RAINBOW BABIES & CHILDREN'S HOSPITAL
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5261
DR. KA CHUN ALAN CHAN M.D
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHOR CHEUNG TAM M.D.
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 333-8948
DOMINIC CERCONE
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHRISTOPHER FELCHLIA MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-2273
GABRIELLA MARGUERITE RUSTIA MD
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8570

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.

What insurance does Yan Shi accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona and Moda Health Plan, Inc. 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.