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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: October 18, 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
Phone(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
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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Harousseau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Services
0.1 mi
Pediatric Allergy/Immunology
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1023472594 (801) 587-6336
University Of Utah Pediatric Acuity Care
0.2 mi
Pediatric Emergency Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1538523675 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ALIYA S HUTMAN-ZAHLER MD
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7606
JASMINE PADAMADA MD
Student in an Organized Health Care Education/Training Program
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7606
DR. ALEKSES R. CLIFTON MD
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7606
DR. WESAM Z. SABBAHI MD
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7606
NICOLE E. BIRRER MD
Internal Medicine (Hematology & Oncology)
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7606
MR. STEVEN ROBERT CALI
Internal Medicine (Hospice and Palliative Medicine)
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MARY C. MURPHY M.D.
Internal Medicine (Hospice and Palliative Medicine)
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-1686
JARROD T. SMITH MD
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7606

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.

Which organizations bill Medicare for Mark Harousseau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Harousseau reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Salt Lake City, UT) and University Of Utah Pediatric Acuity Care (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Harousseau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Harousseau accept?

Health plans from BridgeSpan Health Company, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.