MARK E. HAROUSSEAU MD
NPI 1417488099
Internal Medicine - Hospice and Palliative Medicine in Salt Lake City, UT

Active since March 24, 2017PECOS Enrolled
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132(801) 585-1686 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2021, May 26, 2021, Oct 13, 2018 and 1 more (4 updates tracked since 2017).

About Mark E. Harousseau Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK E. HAROUSSEAU MD (NPI 1417488099) is an individual hospice and palliative medicine provider in Salt Lake City, Utah, licensed in Utah (10957077-1205) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1417488099
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameMARK E. HAROUSSEAUCredential: MD
Location Address30 N 1900 E RM 4C104Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 4c104Salt Lake City, UT 84132-0002 · (801) 585-1686
Sole ProprietorNo
Enumeration DateMarch 24, 2017
Last NPPES UpdateNovember 3, 20214 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
NPI 1417488099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License Licensed in UT · 10957077-1205
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedPediatricsTaxonomy 208000000X · License 10957077-1205 (UT)
30 N 1900 E RM 4C104, Salt Lake City, UT 84132

Secondary Practice Location 1

Location 181 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · Phone (801) 662-5700

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark E. Harousseau Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine (Hospice and Palliative Medicine)
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine (Hospice and Palliative Medicine)
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Harousseau's NPI number?

The NPI number for Mark Harousseau is 1417488099. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Mark Harousseau located?

Mark Harousseau practices at 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132. The listed phone number is (801) 585-1686.

What is Mark Harousseau's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Mark Harousseau enrolled in Medicare?

Yes. Mark Harousseau is registered in the Medicare PECOS enrollment system.

What insurance does Mark Harousseau accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Mark Harousseau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Harousseau was last updated on November 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.