NPI age
19 years
Enumerated 2007-01-16
● Active
Type 1 · Individual
DR. Shaun Stephen Summerill, M.D.
Summerill is 1 of 10 pediatrics providers in Pocatello and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
ID, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 73% — 27% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
1151 Hospital Way, Bldg F
Pocatello, ID 83201
Mailing address
1151 Hospital Way, Bldg. F
Pocatello, ID 83201
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
PediatricsA pediatrician who has special qualifications to manage emergencies in infants and children.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808342900 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.