Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Xiaoming Shi, MD

Individual provider Surgery Physician · NPI 1932544699

Xiaoming Shi, MD is a General Surgery in Boise, Idaho. Graduated from Saint Louis University School of Medicine in 2013, 13 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Virginia.

Years since qualifying
13
Trained at
Saint Louis University School of Medicine
Licensed in
ID, VA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Hiland Ave Ste H, Burley, ID 83318-2688 — (208) 677-6082

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 1171744 (ID)
Surgery Physician Taxonomy 208600000X · Licence 0101257822 (VA)

Record details

NPI number1932544699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2013
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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