Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932544699 Individual Practitioner Male Practitioner

Dr. Xiaoming Shi , MD

Surgery • Boise, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Xiaoming Shi, MD is a certified Surgery practicing in Boise, ID. With approximately 13 years of clinical experience since graduating from Saint Louis University School Of Medicine in 2013, Dr. Shi delivers high-quality medical care to the local community at 500 W FORT ST.

Dr. Shi is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 W Fort St

Boise, ID 837024501

Telephone 2084221000
Associated Practice Facility / Clinic
🏢 Boise Vamc Facility NPI 1841258985

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boise, ID

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -7.5 yrs vs City Avg
City Avg: 20.5 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
44 Specialists

Practicing in Boise, ID (187 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shi (13 Years) 13 Yrs
Boise Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
26 17 $210.00 $74.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
20 20 $495.00 $157.15

Medical Specialties & State Licenses

CMS Verified: 2025-05-22
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ID 1171744

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101257822

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.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

1501 Hiland Ave F, Burley, ID 833182682

Phone: 2086784444

Secondary Practice Locations

1501 Hiland Ave Ste H

Burley, ID 833182688

Phone: 2086776082

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Bernotski , RDH

Dental Hygienist

NPI 1003295999

Registered Dental Hygienist

Dr. Luke Hansen , MD

Psychiatry & Neurology - Psychiatry

NPI 1003521253

Doctor of Medicine (M.D.)

Christopher Gutierrez

Registered Nurse - Gastroenterology

NPI 1003559683
Dr. Michael Glover , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1013235423

Doctor of Medicine (M.D.)

Dr. Ann Trotter , PhD

Psychologist - Clinical

NPI 1013494442

Doctor of Philosophy (Ph.D.)

NPI 1013516293

RNBC, Bachelor of Science in Nursing

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address May 22, 2025

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 2084677608)

📍
Updated Practice Location January 08, 2025

Registered at 500 W FORT ST, BOISE, ID 837024501 (Tel: 2084221000)

📍
Updated Business Mailing Address January 08, 2025

Registered at 500 W FORT ST, BOISE, ID 837024501 (Tel: 2084221000)

📍
Updated Practice Location October 18, 2022

Registered at 619 19TH ST S DEPT OF, BIRMINGHAM, AL 352331900 (Tel: 6365772450)

📍
Updated Business Mailing Address October 18, 2022

Registered at 619 19TH ST S DEPT OF, BIRMINGHAM, AL 352331900 (Tel: 6365772450)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2022

Surgery (License #0101257822 in VA)

NPI Profile Active March 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2016

Registered at 3551 ROGER BROOKE DR, SAMMC MCHE-SDG, FORT SAM HOUSTON, TX 782344504 (Tel: 2109160439)

📍
Updated Business Mailing Address March 30, 2016

Registered at 3551 ROGER BROOKE DR, JBSA, FORT SAM HOUSTON, TX 782344504 (Tel: 6365772450)

👤
Provider Name / Credentials Updated March 30, 2016

Recorded as XIAOMING SHI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

General Practice (License #0101257822 in VA)

🟢
Initial NPI Registration & Enumeration May 07, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932544699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2013
Last Update: May 22, 2025
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 2084677608

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.