DR. DALLAS SHUJING SHI MD, PHD, MBA
NPI 1407353089
Preventive Medicine - Occupational Medicine in Salt Lake City, UT

Active since April 10, 2018PECOS Enrolled
391 S CHIPETA WAY STE C, SALT LAKE CITY, UT 84108(801) 581-4800 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2019, Apr 10, 2018 (2 updates tracked since 2018).

About Dr. Dallas Shujing Shi Md, Phd, Mba NPPES

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

DR. DALLAS SHUJING SHI MD, PHD, MBA (NPI 1407353089) is an individual occupational medicine provider in Salt Lake City, Utah, licensed in Utah (11405462-1205) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407353089
Entity TypeIndividualFemale
Primary Taxonomy2083X0100X
Provider Legal NameDR. DALLAS SHUJING SHICredential: MD, PHD, MBA
Location Address391 S CHIPETA WAY STE CSalt Lake City, UT 84108-1294
Mailing Address391 S Chipeta Way Ste CSalt Lake City, UT 84108-1294 · (801) 581-4800
Sole ProprietorNo
Enumeration DateApril 10, 2018
Last NPPES UpdateSeptember 13, 20192 updates tracked since enumeration
NPI 1407353089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License Licensed in UT · 11405462-1205
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
391 S CHIPETA WAY STE C, Salt Lake City, UT 84108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dallas Shujing Shi Md, Phd, Mba 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

Preventive Medicine (Occupational Medicine)
391 S CHIPETA WAY STE C
SALT LAKE CITY, UT 84108
Preventive Medicine (Occupational Medicine)
391 S CHIPETA WAY STE C
SALT LAKE CITY, UT 84108
Preventive Medicine (Occupational Medicine)
391 S CHIPETA WAY STE C
SLC, UT 84108

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 Dallas Shi's NPI number?

The NPI number for Dallas Shi is 1407353089. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Dallas Shi located?

Dallas Shi practices at 391 S Chipeta Way Ste C, Salt Lake City, UT 84108. The listed phone number is (801) 581-4800.

What is Dallas Shi's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Dallas Shi enrolled in Medicare?

Yes. Dallas Shi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dallas Shi was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.