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XIAOMING SHI MD
NPI 1932544699
Surgery in Boise, ID

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
500 W FORT ST, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Jan 8, 2025, Oct 18, 2022 and 2 more (5 updates tracked since 2016).

About Xiaoming Shi Md NPPES

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

XIAOMING SHI MD (NPI 1932544699) is an individual surgery provider in Boise, Idaho, licensed in Idaho (1171744) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Cassia Regional Hospital, and maintains a secondary practice location in Burley.

NPPES Registry Identity

NPI1932544699
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameXIAOMING SHICredential: MD
Location Address500 W FORT STBoise, ID 83702-4501
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (208) 467-7608
Phone(208) 422-1000
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateMay 22, 20255 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1932544699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ID · 1171744✔ Licensed in VA · 0101257822
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
500 W FORT ST, Boise, ID 83702
Open in Google Maps ↗

Secondary Practice Location 1

Location 11501 Hiland Ave Ste HBurley, ID 83318-2688 · Phone (208) 677-6082

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan.Insurance ›

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

Xiaoming 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 ID4183954597
PECOS Enrollment IDI20250612003364
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.

Hospital Affiliations CMS Care Compare

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

Cassia Regional Hospital

Critical Access Hospitals · Burley, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131326
Location1501 Hiland AvenueBurley, ID 83318 · Cassia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 Xiaoming Shi's NPI number?

The NPI number for Xiaoming Shi is 1932544699. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Xiaoming Shi located?

Xiaoming Shi practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Xiaoming Shi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Xiaoming Shi enrolled in Medicare?

Yes. Xiaoming 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.

What insurance does Xiaoming Shi accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Xiaoming 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 Xiaoming Shi affiliated with any hospitals?

According to CMS data, Xiaoming Shi is affiliated with Cassia Regional Hospital.

When was this NPI record last updated?

The NPPES record for Xiaoming Shi was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.