Yan Shi, MD - Medicare General Surgery in Cleveland, OH

Yan Shi, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Cleveland, Ohio. He went to University Of Arkansas College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Texas Childrens Physician Group and his current practice location is 11100 Euclid Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (168) 443-0152.

Yan Shi is licensed to practice in Ohio (license number 35.140369) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194001503.

Contact Information

Yan Shi, MD
11100 Euclid Ave,
Cleveland, OH 44106-1716
(168) 443-0152
Not Available

Map and Direction




Physician's Profile

Full NameYan Shi
GenderMale
SpecialityGeneral Surgery
Experience13 Years
Location11100 Euclid Ave, Cleveland, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Yan Shi attended and graduated from University Of Arkansas College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1194001503
  • Provider Enumeration Date: 10/30/2011
  • Last Update Date: 04/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224382726
  • Enrollment ID: I20210611001425

Medical Identifiers

Medical identifiers for Yan Shi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194001503NPI-NPPES
35.140369OtherOHOHIO MEDICAL BOARD
557792OtherTXTEXAS MEDICAL BOARD PHYSICIAN IN TRAINING
BP10039781OtherTXTEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 35.140369 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Childrens Physician Group4385722081405

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Yan Shi allows following entities to bill medicare on his behalf.
Entity NameTexas Childrens Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861675506
PECOS PAC ID: 4385722081
Enrollment ID: O20080422000209

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yan Shi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Yan Shi, MD
1 Baylor Plz, Suite 404d,
Houston, TX 77030-3411

Ph: () -
Yan Shi, MD
11100 Euclid Ave,
Cleveland, OH 44106-1716

Ph: (168) 443-0152

Reviews and Comments


Surgery Doctors in Cleveland, OH

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Dr. Jordan Michael Winter, M.D.
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Phone: 216-844-5777    Fax: 216-844-2888
Iuliana Dit Bobanga, M.D.
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Dr. Raymond Isakov, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 9500 Euclid Ave, A60, Cleveland, OH 44195
Phone: 216-445-3765    Fax: 216-444-9419

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.