XIAOJING SHI – Psychiatry Physician, NPI 1861879900

XIAOJING SHI is a healthcare provider. based in Cleveland, Ohio. specializing in PSYCHIATRY. They hold a License No. 35.136702 (OH). The NPI Number for XIAOJING SHI is 1861879900

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
XIAOJING SHI
NPI
1861879900
Phone
(216) 957-1800
Address
6835 BROADWAY AVE
Enumeration Date
27 April 2015
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022241400
Graduation Year
2000 (26 years ago)
PAC ID
6507193430
Group Practice PAC ID
3375620016
Professional Enrollment ID
I20211208002472
Address ID
DE199714493RE19409RDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,247 PSYCHIATRY in OH

Provider Addresses for XIAOJING SHI

  • 6835 BROADWAY AVE

    CLEVELAND, OH 441051313

    Phone: (216) 957-1800

    Fax: (216) 957-1811

    Type: Location

  • 2500 METROHEALTH DR

    CLEVELAND, OH 441091900

    Phone: (216) 957-1800

    Type: Mailing

  • 19409 PLANTATION RD STE 4

    REHOBOTH BEACH, DE 199714413

    Phone: (302) 224-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211208002472IPsychiatryDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes23342$0
90833Psychotherapy with evaluation and management visit, 30 minutes6329$0
View full utilization report →

Insurance plans in this area (ZIP 44105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375620016View full group profile
NameSpecialtyState
Clinical Social WorkerDE
Nurse PractitionerMD
Mental Health CounselorDE
Clinical Social WorkerDE
Marriage And Family TherapistDE
Mental Health CounselorDE
Mental Health CounselorAZ
Clinical PsychologistDE
Marriage And Family TherapistDE
-MD

Reviews

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Frequently asked questions

How do I look up XIAOJING SHI by NPI?
Use NPI 1861879900 when you need to reference XIAOJING SHI in forms, claims, or directories.
Is XIAOJING SHI active in the national directory?
XIAOJING SHI's public NPI profile is in an active state.
Can you summarize XIAOJING SHI's specialty in plain language?
Clinically, the directory lists XIAOJING SHI with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for XIAOJING SHI?
We surface Cleveland, Ohio for XIAOJING SHI based on available NPPES addresses.
How can I contact XIAOJING SHI?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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