YAN SHI M.D. NPI 1194001503

NPI Information

NPI: 1194001503
Provider Name: YAN SHI, M.D.
Classification: Surgery - 2086S0120X
Specialization: Pediatric Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (168) 443-0152

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NPI Details

Yan Shi, M.D. is a pediatric surgery surgery in Cleveland, OH with 14 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Yan Shi, M.D. NPI is 1194001503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2011

The provider's business location address is:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-716
Phone: (168) 443-0152

The NPI 1194001503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/30/2011 and was last updated on 4/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	35.140369	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	35.140369	OTHER	OHIO	OHIO MEDICAL BOARD
2	BP10039781	OTHER	TEXAS	TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT
3	557792	OTHER	TEXAS	TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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