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SHANE CARLSON DANGERFIELD M.D.
NPI 1457685919
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Salt Lake City, UT

Active since September 30, 2009PECOS Enrolled
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2205 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2021, May 15, 2018 (2 updates tracked since 2018).

About Shane Carlson Dangerfield M.d. NPPES

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

SHANE CARLSON DANGERFIELD M.D. (NPI 1457685919) is an individual pediatric rehabilitation medicine provider in Salt Lake City, Utah, licensed in Utah (9003692-1205) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457685919
Entity TypeIndividualMale
Primary Taxonomy2081P0010X
Provider Legal NameSHANE CARLSON DANGERFIELDCredential: M.D.
Location Address50 N MEDICAL DRSalt Lake City, UT 84132
Mailing AddressPo Box 413021Salt Lake City, UT 84141-3021 · (801) 213-3900
Phone(801) 581-2205
Sole ProprietorYes
Enumeration DateSeptember 30, 2009
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1457685919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
Licenses✔ Licensed in UT · 9003692-1205✔ Licensed in MI · 4301094767
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Also ListedPediatricsTaxonomy 208000000X · License 9003692-1205 (UT)
50 N MEDICAL DR, Salt Lake City, UT 84132
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Other Identifiers 1

Medicaid1457685919UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Carlson Dangerfield M.d. 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 Reassignment

Medicare enrollment records show Shane Dangerfield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scl Health Medical Group - Billings LLC
349 mi
Rural Health
55 N MONTANA AVE
Absarokee, MT 59001
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1649883539 (406) 328-4497

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.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 Shane Dangerfield's NPI number?

The NPI number for Shane Dangerfield is 1457685919. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Shane Dangerfield located?

Shane Dangerfield practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2205.

What is Shane Dangerfield's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Shane Dangerfield enrolled in Medicare?

Yes. Shane Dangerfield is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shane Dangerfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Dangerfield reassigns Medicare benefits to Scl Health Medical Group - Billings LLC (Absarokee, MT). The 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 Shane Dangerfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Dangerfield accept?

Health plans from Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Molina Healthcare, Mountain Health CO-OP and Providence Health Plan and 3 other insurers list Shane Dangerfield 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 Shane Dangerfield was last updated on December 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.