DR. SHAD OUTSEN M.D.
NPI 1487815536
Pediatrics - Pediatric Critical Care Medicine in Provo, UT

Q: What is Shad Outsen's NPI number?

The NPI number for Shad Outsen is 1487815536. It was assigned to this individual provider in the NPPES registry on June 21, 2008.

Q: What is Shad Outsen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Shad Outsen was last updated on April 25, 2022. 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.

Active since June 21, 2008PECOS Enrolled

1034 N 500 W, PROVO, UT 84604(801) 357-7481 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Shad Outsen M.d. NPPES

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

DR. SHAD OUTSEN M.D. (NPI 1487815536) is an individual pediatric critical care medicine provider in Provo, Utah, licensed in Utah (7365706-1205) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487815536

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. SHAD OUTSENCredential: M.D.

Location Address1034 N 500 WProvo, UT 84604-3380

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 357-7481

Sole ProprietorYes

Enumeration DateJune 21, 2008

Last NPPES UpdateApril 25, 2022

NPPES CertifiedApril 25, 2022

✔ NPI 1487815536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in UT · 7365706-1205

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1034 N 500 W, Provo, UT 84604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shad Outsen 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.

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.

IHC HEALTH SERVICES INC

Radiology (Diagnostic Radiology)

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-4423

JAMES TYNAN DALY DO

Hospitalist

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-7291

ADAM R KROMMENHOEK MD

Emergency Medicine (Emergency Medical Services)

1034 N 500 W
PROVO, UT 84604

Utah County (801) 373-7850

DR. CHRISTOPHER NATHAN JOHNSON MD

Emergency Medicine

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-7850

MARGARET MICHELE MAXFIELD CCC-SLP

Speech-Language Pathologist

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-7448

DARBY MELESSE HERRMANN OTR/L

Occupational Therapist

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-7850

MRS. HOLLY YORGASON DIETITIAN

Dietitian, Registered

1034 N 500 W
PROVO, UT 84604

Utah County No phone listed

BRENT L GRIFFIN MD

Psychiatry & Neurology (Psychiatry)

1034 N 500 W
PROVO, UT 84604

Utah County (801) 357-4542

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 Shad Outsen's NPI number?

The NPI number for Shad Outsen is 1487815536. It was assigned to this individual provider in the NPPES registry on June 21, 2008.

Where is Shad Outsen located?

Shad Outsen practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7481.

What is Shad Outsen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Shad Outsen enrolled in Medicare?

Yes. Shad Outsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shad Outsen was last updated on April 25, 2022. 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.