Independent site. Not affiliated with, endorsed by, or connected to DoD, DHA, or the official TRICARE program. Visit the official TRICARE site.

Pediatrics

Dr. SHAUN SUMMERILL M.D.

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1497807044 · enumerated 2007-01-16 · record updated 2025-03-17. Source: CMS NPPES. A listing is not a TRICARE network approval.

Addresses and phones

Specialties

  • Pediatrics 208000000X · License 49001 WI
  • Pediatrics, Pediatric Emergency Medicine 2080P0204X · License 49001 WI
  • Pediatrics 208000000X · Primary · License M-11365 ID

In this directory

Locations and evidence

  • Practice location POCATELLO, ID, 83201
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.