TOM SHI MD
NPI 1538454723
Internal Medicine in Clackamas, OR

Active since June 15, 2011PECOS EnrolledAccepts Medicare Assignment
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Tom Shi Md NPPES

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

TOM SHI MD (NPI 1538454723) is an individual internal medicine provider in Clackamas, Oregon, licensed in Oregon (MD168979) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1538454723
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTOM SHICredential: MD
Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2011
Enumeration DateJune 15, 2011
Last NPPES UpdateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
NPI 1538454723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OR · MD168979 Licensed in WA · MD61253857 Licensed in OR · PG155703
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10180 SE SUNNYSIDE RD, Clackamas, OR 97015

Secondary Practice Location 1

Location 12020 Capitol St NESalem, OR 97301-0644 · Phone (503) 399-2424 · Fax (503) 375-7429

Other Identifiers 1

Medicaid500675711OR

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

Tom Shi 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 ID2860613460
PECOS Enrollment IDI20141023002505, I20220831001091
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

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.

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.
55 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier12 claims12 services$81.52 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 20

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

Internal Medicine
10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015
Emergency Medicine
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015
Anesthesiology
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Radiology (Diagnostic Radiology)
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Psychiatry & Neurology (Neurology)
10180 SE SUNNYSIDE RD, DEPT OF NEUROLOGY, CLINIC C
CLACKAMAS, OR 97015

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 Tom Shi's NPI number?

The NPI number for Tom Shi is 1538454723. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Tom Shi located?

Tom Shi practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.

What is Tom Shi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tom Shi enrolled in Medicare?

Yes. Tom Shi 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.

Is Tom Shi affiliated with any hospitals?

According to CMS data, Tom Shi is affiliated with Kaiser Sunnyside Medical Center and Peacehealth St John Medical Center.

When was this NPI record last updated?

The NPPES record for Tom Shi was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.