DR. MINGXIA MICHELLE SHI MD
NPI 1669764072
Pathology - Anatomic Pathology & Clinical Pathology in Irving, TX

Active since May 04, 2011PECOS EnrolledAccepts Medicare Assignment
4770 REGENT BLVD, IRVING, TX 75063(972) 934-4300 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2022, Mar 3, 2021, Sep 15, 2016 (3 updates tracked since 2016).

About Dr. Mingxia Michelle Shi Md NPPES

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

DR. MINGXIA MICHELLE SHI MD (NPI 1669764072) is an individual anatomic pathology & clinical pathology provider in Irving, Texas, licensed in Alabama (MD.38534) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Sana Healthcare Carrollton D/b/a Carrollton Regional Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1669764072
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. MINGXIA MICHELLE SHICredential: MD
Location Address4770 REGENT BLVDIrving, TX 75063-2445
Mailing Address14275 Midway Rd Ste 400Addison, TX 75001-3614 · (214) 932-8029 · Fax (610) 271-4245
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateMay 4, 2011
Last NPPES UpdateDecember 30, 20223 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
✔ NPI 1669764072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in AL · MD.38534✔ Licensed in LA · 207534
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4770 REGENT BLVD, Irving, TX 75063

Other Identifiers 1

Medicaid2144570LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mingxia Michelle 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 ID1658674429
PECOS Enrollment IDI20220628000475
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mingxia Shi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
400 WEST INTERSTATE 635, SUITE 101
Iring, TX 75063
  • Reassigned Medicare billing, Texas enrollment
  • 21 clinicians in this Medicare group
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
Multi-Specialty
1119 HAHN, 5721 USA NORTH DRIVE
Mobile, AL 36688
  • Reassigned Medicare billing, Alabama enrollment
  • 394 clinicians in this Medicare group
Emergency Medicine
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 857 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.

Hospital Affiliations CMS Care Compare

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

2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75063 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
4770 REGENT BLVD
IRVING, TX 75063
Pathology (Anatomic Pathology & Clinical Pathology)
4770 REGENT BLVD
IRVING, TX 75063
Pathology (Anatomic Pathology & Clinical Pathology)
4770 REGENT BLVD
IRVING, TX 75063
Pathology (Anatomic Pathology & Clinical Pathology)
4770 REGENT BLVD
IRVING, TX 75063
Pathology (Anatomic Pathology & Clinical Pathology)
4770 REGENT BLVD
IRVING, TX 75063
Pathology (Anatomic Pathology & Clinical Pathology)
4770 REGENT BLVD
IRVING, TX 75063
Pathology (Anatomic Pathology & Clinical Pathology)
4770 REGENT BLVD
IRVING, TX 75063
Pathology (Anatomic Pathology & Clinical Pathology)
4770 REGENT BLVD
IRVING, TX 75063

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 Mingxia Shi's NPI number?

The NPI number for Mingxia Shi is 1669764072. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Mingxia Shi located?

Mingxia Shi practices at 4770 Regent Blvd, Irving, TX 75063. The listed phone number is (972) 934-4300.

What is Mingxia Shi's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mingxia Shi enrolled in Medicare?

Yes. Mingxia 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.

Which organizations bill Medicare for Mingxia Shi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mingxia Shi reassigns Medicare benefits to 4 organizations: Dfw 501A Corporation (Iring, TX), Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), University Of South Alabama (Mobile, AL) and Usa Health Physician Billing Services LLC (Mobile, AL). 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 Mingxia Shi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mingxia Shi accept?

Health plans from Baylor Scott and White Health Plan list Mingxia 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.

Is Mingxia Shi affiliated with any hospitals?

According to CMS data, Mingxia Shi is affiliated with Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mingxia Shi was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.