DR. PETER SHI (D.O.) – Internal Medicine Physician, NPI 1336569904
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,527 INTERNAL MEDICINE in TN
Provider Addresses for DR. PETER SHI (D.O.)
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 383054403
Phone: (731) 660-8781
Type: Mailing
620 SKYLINE DR
JACKSON, TN 383013923
Phone: (731) 541-4923
Type: Location
11109 Parkview Plaza Dr
Fort Wayne, IN 468451701
Phone: (260) 266-2020
Fax: (260) 266-2009
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: 2020-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170825000224 | I | Hospitalist | TN | TBD |
| I20181212003108 | I | Hospitalist | IN | TBD |
| I20200305000220 | I | Internal Medicine | AR | TBD |
| I20200915001221 | I | Hospitalist | VA | TBD |
| I20201124000144 | I | Hospitalist | DC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 449 | 233 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 240 | 234 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 185 | 114 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 123 | 123 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 38305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | WA | |
| - | VIR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| Hospitalist, Internal Medicine | VA | |
| - | VA |
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