Individual provider Active NPI

Andrew Shay, MD

  • Surgery Physician
  • Meridian, ID
National Provider Identifier
1215165162
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7071069 Issued in ID
Practice address
520 S Eagle Rd
Meridian, ID 83642-6351
Phone
(208) 381-6930
Fax
(208) 381-6931
NPI assigned
Jun 30, 2009
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X RS20090316 NM
Surgery Physician 208600000X Q7276 TX
Surgery Physician 208600000X 7071069 ID Primary
Surgical Critical Care Physician 2086S0102X Q7276 TX
Surgical Critical Care Physician 2086S0102X 15405 NV

Addresses

Primary practice location

520 S Eagle Rd
Meridian, ID 83642-6351

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5300

Other practice location 2

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5300

Other practice location 3

1707 W Charleston Blvd
Suite 160
Las Vegas, NV 89102-2351
Phone (702) 671-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160518001797 TX Practitioner - General Surgery 6709010242 Reassigns benefits to 2 organizations
I20210713003427 NM Practitioner - General Surgery 6709010242 Reassigns benefits to 1 organization
I20250820002575 ID Practitioner - General Surgery 6709010242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Oregon Health Sciences University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgical Affiliates of Texas PAGroup PAC ID 9931446481, 44 clinicians
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (915) 320-3393

520 S Eagle Rd
Meridian, ID 83642-6351

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7071069IDMDSurgery Physician
RS20090316NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Mar 25, 2019 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Aug 5, 2025 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Oct 11, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 25, 2019 Accepting new patients
University of NV School of Medicine Multi Specialty Group Practice So Surgery Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Trinity Clinic Family Medicine Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: ashay152642@christushealth.direct-ci.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1215165162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-381-6930",
            "fax_number": "208-381-6931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-5300",
            "fax_number": "915-215-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-5300",
            "fax_number": "915-215-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1707 W Charleston Blvd",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022351",
            "country_code": "US",
            "telephone_number": "702-671-5150",
            "fax_number": "702-384-6493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAY",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "RS20090316",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q7276",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "7071069",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "Q7276",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NV",
            "license": "15405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.