DR. SHAD OUTSEN M.D.
NPI 1487815536
Pediatrics - Pediatric Critical Care Medicine in Provo, UT
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 and is a graduate of University Of Utah School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shad Outsen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shad Outsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Riverton, UT 84065
- Reassigned Medicare billing, Utah enrollment
- 202 clinicians in this Medicare group
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shad Outsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shad Outsen reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Provo, UT) and University Of Utah Pediatric Acuity Care (Riverton, 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 Shad Outsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Shad Outsen, M.D. · NPI 1487815536
Pediatric Critical Care Medicine physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since June 21, 2008.
## Identity
- **NPI:** 1487815536 (Entity type: Individual)
- **Enumerated:** June 21, 2008
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 7365706-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1034 N 500 W, Provo, UT 84604-3380
- **Phone:** (801) 357-7481
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1134259294, Provo, UT); University Of Utah Pediatric Acuity Care (NPI 1376907410, Riverton, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** April 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487815536) · Data from the CMS NPPES public registry.